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 Forge At Manalapan Crossing 400 Crossing Lane, Apartment 309, Manalapan NJ 07726. 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, Inc. can be contacted via phone (732) 677-1164, or through Hodgdon, Darren via phone (269) 427-8400.
Contact Information
Primary practice address
Forge At Manalapan Crossing 400 Crossing Lane, Apartment 309
Manalapan NJ 07726
Phone: (732) 677-1164
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320600000X |
Profile Details
| NPI number | 1689377210 |
|---|---|
| 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 23rd, 2023 |
| Last updated | Feb 8th, 2024 - about 9 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689377210 | NPPES |
| New Jersey | MEDICAID | 0450858187 |
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