Beacon Specialized Living New Jersey

LBN: Beacon Specialized Living New Jersey
Beacon Specialized Living New Jersey is an health care organization with primary practice located at 425 Drum Point Rd , Brick NJ 08723-6833. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Beacon Specialized Living New Jersey can be contacted via phone (732) 477-1374, or through Hodgdon, Darren via phone (269) 427-8400.

Contact Information

Primary practice address
425 Drum Point Rd Brick NJ 08723-6833
Phone: (732) 477-1374
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hodgdon, Darren
Phone: (269) 427-8400

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X

Profile Details

NPI number 1134828940
LBN Legal business name Beacon Specialized Living New Jersey
DBA Doing business as
Authorized official Hodgdon, Darren
Entity Organization
Organization subpart 1 No
Enumeration date Mar 1st, 2023
Last updated Mar 2nd, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134828940 NPPES
New Jersey MEDICAID 0450858187

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