Beacon Specialized Living New Jersey, INC.
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Shamong, New Jersey
1750158960- Practice location
- 191 Willow Grove RD, Shamong, NJ 08088-8974
- Phone
- 609-987-5003
- Fax
- —
- Last updated
- February 8, 2024
Beacon Specialized Living New Jersey, INC. is a healthcare organization based in Shamong, NJ. Beacon Specialized Living New Jersey, INC. practices in Shamong, NJ. The NPI Number for Beacon Specialized Living New Jersey, INC. is 1750158960. The current practice location address for Beacon Specialized Living New Jersey, INC. is 191 Willow Grove RD, Shamong, NJ 08088-8974 and can be reached out via phone at 609-987-5003.
Provider Profile Details
- NPI Number
- 1750158960
- Provider Name
- Beacon Specialized Living New Jersey, INC.
- Provider Entity Type
- Organization
- Address
- 191 Willow Grove RD, Shamong, NJ 08088-8974
- Phone Number
- 609-987-5003
- 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
- December 7, 2023
- Last Update Date
- February 8, 2024
- Certification Date
- February 8, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 191 Willow Grove RD
Shamong, NJ 08088-8974 - City
- Shamong
- State
- New Jersey
- Zip
- 08088-8974
- 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 1750158960. It was assigned on December 7, 2023 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 191 Willow Grove RD, Shamong, NJ 08088-8974. 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 1750158960 directly on the NPPES registry website.