Beacon Specialized Living New Jersey, Inc.

LBN: Beacon Specialized Living New Jersey, Inc.
Beacon Specialized Living New Jersey, Inc. is an health care organization with primary practice located at 1015 Whitehead Road Ext Apt 124 , Ewing NJ 08638-2433. The organization recently has only one registered license in Agencies / In Home Supportive Care, which is considered as the primary health care specialty. Beacon Specialized Living New Jersey, Inc. can be contacted via phone (609) 987-5003, or through Hodgdon, Darren via phone (269) 427-8400.

Contact Information

Primary practice address
1015 Whitehead Road Ext Apt 124 Ewing NJ 08638-2433
Phone: (609) 987-5003
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hodgdon, Darren
Phone: (269) 427-8400

Health care specialties

SpecialtyCodeLicense #State
Agencies / In Home Supportive Care 253Z00000X

Profile Details

NPI number 1104525831
LBN Legal business name Beacon Specialized Living New Jersey, Inc.
DBA Doing business as
Authorized official Hodgdon, Darren
Entity Organization
Organization subpart 1 No
Enumeration date Mar 2nd, 2023
Last updated Mar 6th, 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 1104525831 NPPES
New Jersey MEDICAID 0450858187

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