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BEACON GROUP SW INC. NPI 1053894162


NPI Information

NPI: 1053894162
Provider Name: BEACON GROUP SW, INC.
Classification: Day Training, Developmentally Disabled Services - 251C00000X
Entity Type: Organization

CLIA Number: 03D2219788

Address:
1020 S 5TH ST
PHOENIX, AZ
ZIP 85004
Phone: (520) 622-4874
Get Directions

BEACON GROUP SW, INC. is a day training developmentally disabled services in Phoenix, AZ. The provider is these agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. BEACON GROUP SW, INC. NPI is 1053894162. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1020 S 5TH ST
PHOENIX, AZ
ZIP 85004-716
Phone: (520) 622-4874

The provider's authorized official is Natalya Brown .
The authorized official title is Cfo and has the following contact phone number (520) 622-4874.

The CLIA number assigned to this NPI record is 03D2219788 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/13/2018 and was last updated on 9/13/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TR0400XPsychologistRehabilitationNo
2251C00000XDay Training, Developmentally Disabled ServicesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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