BEACON SPECIALIZED LIVING NEW JERSEY INC. NPI 1316731367

NPI Information

  • NPI: 1316731367
  • Provider Name: BEACON SPECIALIZED LIVING NEW JERSEY, INC.
  • Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
  • Entity Type: Organization
  • Address: 98 BICKEL RD
    WASHINGTON, NJ
    ZIP 07882
  • Phone: (609) 987-5003

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NPI Details

BEACON SPECIALIZED LIVING NEW JERSEY, INC. is a residential treatment facility, intellectual and/or developmental disabilities in Washington, NJ. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. BEACON SPECIALIZED LIVING NEW JERSEY, INC. NPI is 1316731367. The provider is registered as an organization entity type.

The provider's business location address is:

98 BICKEL RD
WASHINGTON, NJ
ZIP 07882-540
Phone: (609) 987-5003

The provider's authorized official is Darren Hodgdon .
The authorized official title is Ceo and has the following contact phone number (269) 427-8400.

The enumeration date for this NPI number is 4/7/2025 and was last updated on 4/8/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10943631MEDICAIDNEW JERSEY

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: 3/30/2025

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