Beach Club Residential Living Inc in Geneva - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Beach Club Residential Living Inc - NPI 1740404870
Beach Club Residential Living Inc is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Geneva, Ohio. Beach Club Residential Living Inc practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Beach Club Residential Living Inc is 1740404870. The last update date is 2020-08-22.
Beach Club Residential Living Inc's current location address is 5254 Lake Rd E, Geneva, Ohio. You can contact this provider via phone number 4404660988 and fax number 4404660315. The mailing address for Beach Club Residential Living Inc is 5254 Lake Rd E, Geneva, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Beach Club Residential Living Inc |
|---|---|
| Address | 5254 Lake Rd E, Geneva, Ohio |
| Phone Number | 4404660988 |
| Fax Number | 4404660315 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Busch Kay Luann |
| Telephone Number | 4404660988 |
NPI Number Detail
| NPI Number | 1740404870 |
|---|---|
| Provider Enumeration Date | 2007-04-12 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 5254 Lake Rd E |
|---|---|
| City | Geneva |
| State | Ohio (OH) |
| Post Code | 440419490 |
| Phone Number | 4404660988 |
| Fax Number | 4404660315 |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320900000X |
| Licence No | 2056975 |
|
Definition: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 400355 | OH | CONTRACT NUMBER | |
| 2056975 | OH | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Beach Club Residential Living Inc?
The Beach Club Residential Living Inc has been issued the NPI (National Provider Identifier) 1740404870 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Beach Club Residential Living Inc is geographically located?
The Beach Club Residential Living Inc is physically situated at the following location: 5254 Lake Rd E, Geneva, OH, 440419490.
What is the area of specialization for Beach Club Residential Living Inc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Beach Club Residential Living Inc is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code that categorizes this area of expertise is 320900000X.
When did Beach Club Residential Living Inc receive its 1740404870 assignment?
The Beach Club Residential Living Inc was assigned its 1740404870 on 2007-04-12, which is the date when this unique identifier was issued to the organization.
When was the information regarding Beach Club Residential Living Inc most recently updated?
The details pertaining to the Beach Club Residential Living Inc, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.
NPI Number: 1942207287
Address: N160 State Route 108, Napoleon, OH