Beacon Specialized Living Minnesota, Inc.
Custodial Care Facility in Mendota Heights, Minnesota
NPI 1528174349
Beacon Specialized Living Minnesota, Inc. is a Custodial Care Facility based in Mendota Heights, MN. Beacon Specialized Living Minnesota, Inc. practices in Mendota Heights, MN. The NPI Number for Beacon Specialized Living Minnesota, Inc. is 1528174349 and holds a License No. LP2482 (Minnesota).
The current practice location address for Beacon Specialized Living Minnesota, Inc. is 1355 Mendota Heights Road, Mendota Heights, MN and can be reached out via phone at 651-451-2889 and via fax at 651-451-5955.
Location: 1355 Mendota Heights Road, Mendota Heights, MN, 55120
Provider Profile Details
NPI Number
1528174349
Provider Name
Beacon Specialized Living Minnesota, Inc.
Credential
Provider Entity Type
Organization
Address
1355 Mendota Heights Road, Mendota Heights, MN, 55120
Phone Number
651-451-2889
Fax Number
651-451-5955
Provider Enumeration Date
08/22/2006
Last Update Date
03/12/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 706520500 | 05 | MN | |
| 211817300 | 05 | MN | |
| 108343100 | 05 | MN | |
| 24G272 | 05 | MN | |
| 196680400 | 05 | MN | |
| 246318 | 01 | MN | MEDICAID |
| 339343700 | 05 | MN | |
| 392150600 | 05 | MN | |
| 579133200 | 05 | MN |
Provider Business Practice Location Address Details
Address
1355 Mendota Heights Road
City
State
Zip
55120
Phone Number
651-451-2889
Fax Number
651-451-5955
Provider Business Mailing Address Details
Address
1355 Mendota Heights Road
City
State
Zip
55120
Phone Number
651-451-2889
Fax Number
651-451-5955
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
-
Taxonomy
License No.
()
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Day Care
Taxonomy
License No.
()
Definition
Definition to come...
Provider's Taxonomy Details 3
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
License No.
()
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
Provider's Taxonomy Details 4
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
Assisted Living, Behavioral Disturbances
Taxonomy
License No.
()
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors.
Provider's Taxonomy Details 5
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
-
Taxonomy
License No.
LP2482 (Minnesota)
Definition
A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel.
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