Beacon Specialized Living Minnesota, Inc. in Mendota Heights - Assisted Living, Behavioral Disturbances
Beacon Specialized Living Minnesota, Inc. - NPI 1528174349
Beacon Specialized Living Minnesota, Inc. is a Assisted Living, Behavioral Disturbances in Mendota Heights, Minnesota. Beacon Specialized Living Minnesota, Inc. practices all healthcare services and medical treatments related to Assisted Living, Behavioral Disturbances. The NPI Number for Beacon Specialized Living Minnesota, Inc. is 1528174349. The last update date is 2021-07-26.
Beacon Specialized Living Minnesota, Inc.'s current location address is 1355 Mendota Heights Road, Mendota Heights, Minnesota. You can contact this provider via phone number 6514512889 and fax number 6514515955. The mailing address for Beacon Specialized Living Minnesota, Inc. is 1355 Mendota Heights Road, Mendota Heights, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Beacon Specialized Living Minnesota, Inc. |
|---|---|
| Address | 1355 Mendota Heights Road, Mendota Heights, Minnesota |
| Phone Number | 6514512889 |
| Fax Number | 6514515955 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VICE PRESI |
|---|---|
| Authorized Official Name | Turner Barbara |
| Telephone Number | 6514512889 |
NPI Number Detail
| NPI Number | 1528174349 |
|---|---|
| Provider Enumeration Date | 2006-08-22 |
| Last Updated Date | 2021-07-26 |
Provider Mailing Address Detail
| Address | 1355 Mendota Heights Road |
|---|---|
| City | Mendota Heights |
| State | Minnesota (MN) |
| Post Code | 55120 |
| Phone Number | 6514512889 |
| Fax Number | 6514515955 |
Provider's Primary Taxonomy Detail
| Speciality | Assisted Living, Behavioral Disturbances |
|---|---|
| Taxonomy | 3104A0630X |
|
Definition: A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 706520500 | MN | -- | |
| 211817300 | MN | -- | |
| 108343100 | MN | -- | |
| 24G272 | MN | -- | |
| 196680400 | MN | -- | |
| 246318 | MN | MEDICAID | |
| 339343700 | MN | -- | |
| 392150600 | MN | -- | |
| 579133200 | MN | -- |
Post Comment/ Review Below
What is the Beacon Specialized Living Minnesota, Inc.'s unique identification number?
The Beacon Specialized Living Minnesota, Inc. has been assigned the NPI (National Provider Identifier) Number 1528174349 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Beacon Specialized Living Minnesota, Inc. is physically located?
The Beacon Specialized Living Minnesota, Inc. is situated at the following address: 1355 Mendota Heights Road, Mendota Heights, MN 55120.
What is Beacon Specialized Living Minnesota, Inc.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Beacon Specialized Living Minnesota, Inc.'s specialized field of practice is Assisted Living, Behavioral Disturbances, and the corresponding taxonomy code that categorizes this area of specialization is 3104A0630X.
When did Beacon Specialized Living Minnesota, Inc. receive its 1528174349 assignment?
The Beacon Specialized Living Minnesota, Inc. was assigned its 1528174349 on 2006-08-22, which is the date when this unique identifier was issued to the organization.
As of what date were the Beacon Specialized Living Minnesota, Inc.'s details last updated?
The information pertaining to the Beacon Specialized Living Minnesota, Inc., including its address, specialty, and other details, was most recently updated on 2021-07-26.