Beacon Specialized Living Wisconsin Inc.

LBN: Beacon Specialized Living Wisconsin Inc.
Beacon Specialized Living Wisconsin Inc. is an health care organization with primary practice located at 703 N Wisconsin St , Port Washington WI 53074-1647. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living, Mental Illness, which is considered as the primary health care specialty. Beacon Specialized Living Wisconsin Inc. can be contacted via phone (262) 235-4130, or through Longo, Robert via phone (630) 258-8638.

Contact Information

Primary practice address
703 N Wisconsin St Port Washington WI 53074-1647
Phone: (262) 235-4130
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Longo, Robert
Phone: (630) 258-8638

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living, Mental Illness 3104A0625X

Profile Details

NPI number 1861237349
LBN Legal business name Beacon Specialized Living Wisconsin Inc.
DBA Doing business as
Authorized official Longo, Robert
Entity Organization
Organization subpart 1 No
Enumeration date Jun 27th, 2024
Last updated Jun 27th, 2024 - about 6 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.

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