Provider Type Icon

THE BEACON HOUSE ASSOCIATION OF SAN PEDRO NPI 1386197267


NPI Information

NPI: 1386197267
Provider Name: THE BEACON HOUSE ASSOCIATION OF SAN PEDRO

Doing Business As: BEACON HOUSE

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
132 W 10TH ST
SAN PEDRO, CA
ZIP 90731
Phone: (310) 514-4940
Get Directions

THE BEACON HOUSE ASSOCIATION OF SAN PEDRO is a substance abuse rehabilitation facility in San Pedro, CA. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. THE BEACON HOUSE ASSOCIATION OF SAN PEDRO NPI is 1386197267. The provider is registered as an organization entity type.
The provider Is Doing Business As Beacon House.

The provider's business location address is:

132 W 10TH ST
SAN PEDRO, CA
ZIP 90731-702
Phone: (310) 514-4940
Fax: (310) 831-0070

The provider's authorized official is Brian Smith .
The authorized official title is Management Director and has the following contact phone number (310) 514-4940.

The enumeration date for this NPI number is 7/27/2016 and was last updated on 8/30/2023.


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
1324500000XSubstance Abuse Rehabilitation Facility190006BNCALIFORNIAYes

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.