Beacon Specialized Living New Jersey, INC.
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Blackwood, New Jersey
1376400515- Practice location
- 40 Crestwood Ave, Blackwood, NJ 08012-5235
- Phone
- 609-987-5003
- Fax
- 609-520-7979
- Last updated
- January 8, 2026
Beacon Specialized Living New Jersey, INC. is a healthcare organization based in Blackwood, NJ. Beacon Specialized Living New Jersey, INC. practices in Blackwood, NJ. The NPI Number for Beacon Specialized Living New Jersey, INC. is 1376400515. The current practice location address for Beacon Specialized Living New Jersey, INC. is 40 Crestwood Ave, Blackwood, NJ 08012-5235 and can be reached out via phone at 609-987-5003 and via fax at 609-520-7979.
Provider Profile Details
- NPI Number
- 1376400515
- Provider Name
- Beacon Specialized Living New Jersey, INC.
- Provider Entity Type
- Organization
- Address
- 40 Crestwood Ave, Blackwood, NJ 08012-5235
- Phone Number
- 609-987-5003
- Fax Number
- 609-520-7979
- Primary Taxonomy
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities · 320600000X
- Organization Subpart
- No
- Authorized Official
- Darren Hodgdon · President · 269-427-8400
- Provider Enumeration Date
- January 8, 2026
- Last Update Date
- January 8, 2026
- Certification Date
- January 8, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 40 Crestwood Ave
Blackwood, NJ 08012-5235 - City
- Blackwood
- State
- New Jersey
- Zip
- 08012-5235
- Phone Number
- 609-987-5003
- Fax Number
- 609-520-7979
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 1376400515. It was assigned on January 8, 2026 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 40 Crestwood Ave, Blackwood, NJ 08012-5235. The office can be reached at 609-987-5003 (phone) or 609-520-7979 (fax).
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 1376400515 directly on the NPPES registry website.