BEACON HOUSE – NPI #1114937950
Residential Treatment Facility, Emotionally Disturbed Children

A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

BEACON HOUSE is a residential treatment facility located in JASPER, AL. NPPES has assigned the NPI number 1114937950 to BEACON HOUSE on August 08, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BEACON HOUSE” is a dba name, the actual legal business name for this organization is CONCERNED CITIZENS FOR OUR YOUTH, INC.. The primary taxonomy selected by this provider is 322D00000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Emotionally Disturbed Children.

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BEACON HOUSE below.

NPI Profile for
CONCERNED CITIZENS FOR OUR YOUTH, INC.

NPI Number
1114937950
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CONCERNED CITIZENS FOR OUR YOUTH, INC.
Doing Business As (dba): BEACON HOUSE
Primary location
1200 BEACON LANE
JASPER, AL 35504
Phone: (205) 384-4539 Fax: (205) 384-1496
Mailing address
PO BOX 852
JASPER, AL 35502-0852
Phone: (205) 384-4539 Fax: (205) 384-1496
Organization Subpart
No
Authorized Official
PHYLLIS COOK
EXECUTIVE DIRECTOR
Phone: (205) 384-4539
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
322D00000X
- Residential Treatment Facility, Emotionally Disturbed Children (Primary)
AL 000373

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.