Beacon Specialized Living New Jersey, INC.
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Willingboro, New Jersey
1093566242- Practice location
- 53 Pond Ln, Willingboro, NJ 08046-2756
- Phone
- 609-987-5003
- Fax
- —
- Last updated
- March 27, 2024
Beacon Specialized Living New Jersey, INC. is a healthcare organization based in Willingboro, NJ. Beacon Specialized Living New Jersey, INC. practices in Willingboro, NJ. The NPI Number for Beacon Specialized Living New Jersey, INC. is 1093566242. The current practice location address for Beacon Specialized Living New Jersey, INC. is 53 Pond Ln, Willingboro, NJ 08046-2756 and can be reached out via phone at 609-987-5003.
Provider Profile Details
- NPI Number
- 1093566242
- Provider Name
- Beacon Specialized Living New Jersey, INC.
- Provider Entity Type
- Organization
- Address
- 53 Pond Ln, Willingboro, NJ 08046-2756
- Phone Number
- 609-987-5003
- Primary Taxonomy
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities · 320600000X
- Organization Subpart
- No
- Authorized Official
- Darren Hodgdon · Chief Executive Officer · 269-427-8400
- Provider Enumeration Date
- March 27, 2024
- Last Update Date
- March 27, 2024
- Certification Date
- March 27, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 53 Pond Ln
Willingboro, NJ 08046-2756 - City
- Willingboro
- State
- New Jersey
- Zip
- 08046-2756
- Phone Number
- 609-987-5003
Provider Business Mailing Address Details
- Address
- 13 Roszel RD Ste B110
Princeton, NJ 08540-6211 - City
- Princeton
- State
- NJ
- Zip
- 08540-6211
- Phone Number
- 609-987-5003
- Fax Number
- 609-520-7979
License Information
- Taxonomy
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities · 320600000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Beacon Specialized Living New Jersey, INC.?
The NPI number of Beacon Specialized Living New Jersey, INC. is 1093566242. It was assigned on March 27, 2024 and is currently active in the NPPES registry.
What is the specialty of Beacon Specialized Living New Jersey, INC.?
Beacon Specialized Living New Jersey, INC. is registered under the primary taxonomy Residential Treatment Facility, Intellectual and/or Developmental Disabilities (code 320600000X).
Where does Beacon Specialized Living New Jersey, INC. practice?
The practice location is 53 Pond Ln, Willingboro, NJ 08046-2756. The office can be reached at 609-987-5003 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1093566242 directly on the NPPES registry website.