BEACON COMPREHENSIVE SERVICES LLC (NPI# 1396070900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396070900 |
| Entity Type | Organization |
| Organization Name | BEACON COMPREHENSIVE SERVICES LLC |
| Practice Address |
33478 Us Highway 264 Engelhard NC 27824 |
| Mailing Address |
Po Box 375 Roper NC 27970-0375 |
| Practice Telephone | 2527410509 |
| Mailing Telephone | 2527410509 |
| Enumeration Date | 2009-10-15 |
| Last Update Date | 2009-10-15 |
| Authorized Official Name | MRS. JOYLET M MERCER (CEO) |
| Authorized Official Telephone | 2527410509 |
| Authorized Official Credential | BA SOCIOLOGY |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851613061 | Beacon Comprehensive Services LLC | Community/Behavioral Health | 190 La Keiser Drive, Room B, Columbia, NC 27925 | 2010-02-16 |
| Street Address |
33478 US HIGHWAY 264 |
| City | ENGELHARD |
| State | NC |
| Zip Code | 27824 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659348951 | Donald Bruce Spradlin | Physician Assistant | 33270 Us Hwy 264, Box 277, Engelhard, NC 27824 | 2006-03-06 |
| 1184137879 | Ocracoke Health Center, Inc. | Pharmacy | 33270 Us Hwy 264, Engelhard, NC 27824 | 2017-11-16 |
| 1063472116 | Engelhard Medical Center, Inc. | Clinic/Center | 33270 Us 264, Engelhard, NC 27824-0277 | 2006-03-24 |
| 1982675971 | Sally Carson Messick | Nurse Practitioner | 34575 Us Hwy 264, Engelhard, NC 27824-0277 | 2006-01-30 |
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
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| 1336753284 | Transformation Health Services Inc. | Community/Behavioral Health | 2023 Connonade Dr, Waxhaw, NC 28173-0109 | 2020-09-08 |
| 1053925099 | Essential Pathways Counseling and Consulting, Pllc | Community/Behavioral Health | 5009 Beatties Ford Rd Ste 107-274, Charlotte, NC 28216-2859 | 2020-09-08 |
| 1720692833 | Tgh Phase 2 | Community/Behavioral Health | 1121 Old Concord Rd Ste 14, Salisbury, NC 28146-1473 | 2020-09-04 |
| 1669086948 | October Road, Inc. | Community/Behavioral Health | 1304 Plaza Dr Ste 2312, Burlington, NC 27215-7165 | 2020-09-03 |
| 1225640188 | Flovi of Nc Inc. | Community/Behavioral Health | 1916 Sunset Ave, Rocky Mount, NC 27804-2520 | 2020-08-20 |
| 1275145658 | Next Level Counseling, Pllc | Community/Behavioral Health | Tele-therapy Only, Cary, NC 27511 | 2020-08-18 |
| 1023628872 | Jonathan Mccrary | Community/Behavioral Health | 5745 Bramblegate Rd Unit A, Greensboro, NC 27409-3019 | 2020-08-06 |
| 1841809746 | Ryan's Place, LLC | Community/Behavioral Health | 6000 Fairview Rd Ste 1259, Charlotte, NC 28210-2224 | 2020-07-27 |
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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.