BEACON SPECIALIZED LIVING SERVICES NPI 1639504913

NPI Information

  • NPI: 1639504913
  • Provider Name: BEACON SPECIALIZED LIVING SERVICES
  • Classification: Assisted Living Facility - 3104A0625X
  • Specialization: Assisted Living, Mental Illness
  • Entity Type: Organization
  • Address: 9284 STATE HIGHWAY M35
    GLADSTONE, MI
    ZIP 49837
  • Phone: (906) 420-8446

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NPI Details

BEACON SPECIALIZED LIVING SERVICES is an assisted living and mental illness assisted living facility in Gladstone, MI. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. BEACON SPECIALIZED LIVING SERVICES NPI is 1639504913. The provider is registered as an organization entity type.

The provider's business location address is:

9284 STATE HIGHWAY M35
GLADSTONE, MI
ZIP 49837-801
Phone: (906) 420-8446
Fax: (866) 846-9240

The provider's authorized official is Marci June Anderson .
The authorized official title is Staff Nurse / Assistant Home Manage and has the following contact phone number (906) 420-8446.

The enumeration date for this NPI number is 9/5/2013 and was last updated on 9/5/2013.

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
13104A0625XAssisted Living FacilityAssisted Living, Mental Illness4704258587MICHIGANYes

What is NPI?

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This page was last updated on: 11/21/2025

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