BEACON GROUP SW, INC. (NPI# 1124173695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124173695 |
| Entity Type | Organization |
| Organization Name | BEACON GROUP SW, INC. |
| Other Organization Name | BEACON GROUP DBA TETRA SERVICES |
| Practice Address |
2222 N 24th St Phoenix AZ 85008-2716 |
| Practice Telephone | 6026859703 |
| Practice Fax Number | 6022442435 |
| Mailing Telephone | 6026859703 |
| Mailing Fax Number | 6022442435 |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. LINDA RUSAY (DIRECTOR) |
| Authorized Official Telephone | 6026859703 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
| Other Name | Type Code |
|---|---|
| Beacon Group dba Tetra Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053894162 | Beacon Group Sw, Inc. | Psychologist | 1020 S 5th St, Phoenix, AZ 85004-2716 | 2018-09-13 |
| Street Address |
2222 N 24TH ST |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85008-2716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821607060 | Am Apnea and Tmj LLC | Durable Medical Equipment & Medical Supplies | 2303 N. 44thst., Suite 14-1008, Phoenix, AZ 85008 | 2020-07-23 |
| 1194341131 | Abdulbaril Olandapo Olagunju | Student in an Organized Health Care Education/Training Program | 2601 E Roosevelt Street, Valleywise Health, Phoenix, AZ 85008 | 2020-06-24 |
| 1376164632 | Abdul Rahman Raed Mustafa Halawa | Student in an Organized Health Care Education/Training Program | 2601 E Roosevelt St Valleywise Health, Phoenix, AZ 85008 | 2020-04-28 |
| 1245869460 | Zachary Masuda | Student in an Organized Health Care Education/Training Program | Valleywise Health Medical Center, 2601 E Roosevelt St, Phoenix, AZ 85008 | 2020-04-08 |
| 1942840145 | Cana Behavior LLC | Physical Therapist | 2412 N 36 Pl, Phoenix, AZ 85008 | 2020-01-15 |
| 1871158188 | Fred Gardezy | Student in an Organized Health Care Education/Training Program | Maricopa Integrated Health System 2601 E. Roosevelt St., Phoenix, AZ 85008 | 2019-05-02 |
| 1225692346 | Navkaran Singh Girgla | Student in an Organized Health Care Education/Training Program | 2601 East Roosevelt St., Phoenix, AZ 85008 | 2019-04-24 |
| 1316412323 | Southwest Human Developement | Early Intervention Provider Agency | 2850 N 24h Street, Phoenix, AZ 85008 | 2018-10-05 |
| 1558885970 | Mona Ridhwan Ziems | Midwife | 1919 N 31st St, Phoenix, AZ 85008 | 2017-07-27 |
| 1093244451 | Shana Cynamon | Audiologist | 1801 N 37th Pl, Phoenix, AZ 85008 | 2017-06-08 |
| Find all providers in zip 85008 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548878556 | The Opportunity Tree | Day Training, Developmentally Disabled Services | 3146 E Windsor Ave, Phoenix, AZ 85008-1135 | 2020-07-15 |
| 1598381725 | Acacia Care, LLC | Day Training, Developmentally Disabled Services | 8601 N Black Canyon Hwy Ste 200, Phoenix, AZ 85021-4156 | 2020-06-23 |
| 1649810946 | Hearts of Hope LLC | Day Training, Developmentally Disabled Services | 4352 E Angela Dr, Phoenix, AZ 85032-2289 | 2020-01-14 |
| 1619518263 | Ermias Homecare LLC | Day Training, Developmentally Disabled Services | 426 W Beautiful Ln, Phoenix, AZ 85041-8013 | 2019-10-04 |
| 1083164149 | K & C Ventures LLC | Day Training, Developmentally Disabled Services | 4013 E Broadway Road, Phoenix, AZ 85040 | 2016-10-12 |
| 1487006698 | Heartbeat Speech Therapy L.L.C. | Day Training, Developmentally Disabled Services | 16454 S 29th St, Phoenix, AZ 85048-8559 | 2016-07-12 |
| 1154700433 | Quincea Inc | Day Training, Developmentally Disabled Services | 5025 S Central Ave, Phoenix, AZ 85040-2154 | 2015-05-20 |
| 1568856359 | Rescare Arizona, Inc. | Day Training, Developmentally Disabled Services | 960 W Behrend Dr Ste 3, Phoenix, AZ 85027-4406 | 2015-03-19 |
| 1568809721 | Advocates for The Mentally Ill and Disadvantage | Day Training, Developmentally Disabled Services | 8545 N Black Canyon Hwy, Phoenix, AZ 85021-4119 | 2013-05-29 |
| 1861730053 | S.e.e.k. Arizona | Day Training, Developmentally Disabled Services | 1848 N 52nd St, Phoenix, AZ 85008-3402 | 2013-01-22 |
| Find all providers in PHOENIX | ||||
Please comment or provide details below to improve the information on BEACON GROUP SW, INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.