BEACON HOUSE (NPI# 1124675988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124675988 |
| Entity Type | Organization |
| Organization Name | BEACON HOUSE |
| Practice Address |
667 Lighthouse Ave Ste 201 Pacific Grove CA 93950-2666 |
| Mailing Address |
55 E Jackson Blvd Ste 1500 Chicago IL 60604-4137 |
| Practice Telephone | 8664216156 |
| Enumeration Date | 2019-08-26 |
| Last Update Date | 2019-08-26 |
| Authorized Official Name | NICHOLAS LAMONICA (CONTRACT SPECIALIST) |
| Authorized Official Telephone | 3126631130 |
| Is Organization Subpart | Y |
| Parent Organization Name | BEACON HOUSE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033274485 | Beacon House | Substance Abuse Rehabilitation Facility | 468 Pine Ave, Pacific Grove, CA 93950-3440 | 2006-12-26 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | BEACON HOUSE | 19 Myrtle St Apt 715, Boston, MA 02114-4506 |
| Colorado Business Entities | BEACON HOUSE APARTMENTS, INC. | 8227 Cattail Drive, Longmont, CO 80503 |
| System for Award Management (SAM) Entities | BEACON HOUSE COMPLEX | 1607 John Deere Rd, East Moline, IL 61244-9662 |
| New York State Corporations | BEACON HOUSE LLC | 285 Joe's Hill Road, Brewster, Ny 10509 |
| Colorado Business Entities | Beacon House of Hope Inc | 16723 E Kenyon Dr, Aurora, CO 80013 |
| Colorado Business Entities | Beacon House, LLC | C/O Maxx Properties, 600 Mamaroneck Avenue, Harrison, NY 10528 |
| Street Address |
667 LIGHTHOUSE AVE STE 201 |
| City | PACIFIC GROVE |
| State | CA |
| Zip Code | 93950-2666 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588167878 | Joseph C. Hutchinson Jr. | Massage Therapist | 505 Lighthouse Ave. (#104) Ca, Suite # 104, Pacific Grove, CA 93950 | 2018-03-13 |
| 1306274956 | Katherine Hoops | Speech-Language Pathologist | 170 17th St Ste B, Pacific Grove, CA 93950 | 2013-10-17 |
| 1568896918 | Dr Li Liu Acupuncture & Herbal Medicine | Acupuncturist | 311 Forest Ave., Suite B-2, Pacific Grove, CA 93950 | 2013-08-21 |
| 1417298811 | Sibyl Knight | Neuromusculoskeletal Medicine & OMM | 199 17th St Ste J, Pacific Grove, CA 93950 | 2013-03-09 |
| 1417224395 | David J Banks | Pharmacist | 1212 Forest Avenue, Pacific Grove, CA 93950 | 2011-11-21 |
| 1558643346 | Carolyn Bloye | Counselor | 207 16th St Ste 314, Pacific Grove, CA 93950 | 2011-09-16 |
| 1821327248 | David Craig Wright | Internal Medicine | 510 Lighthouse Ave Ste 6, Pacific Grove, CA 93950 | 2009-12-14 |
| 1558512350 | Rachel Evelyn Amerault | Counselor | 951 Blanco Cr Ste B, Salinas, CA 93950 | 2008-10-10 |
| 1629237664 | David Randall Simonds | Marriage & Family Therapist | 621 Forest Avenue, Pacific Grove, CA 93950 | 2008-06-05 |
| 1942410311 | Barbara Carroll Robinson | Marriage & Family Therapist | 311c Forest Ave, Pacific Grove, CA 93950 | 2007-05-23 |
| Find all providers in zip 93950 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
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| Find all providers with the same taxonomy | ||||
| City | PACIFIC GROVE |
| Zip Code | 93950 |
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| 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.