BEACON SPECIALIZED LIVING SERVICES (NPI# 1790110070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790110070 |
| Entity Type | Organization |
| Organization Name | BEACON SPECIALIZED LIVING SERVICES |
| Practice Address |
628 E Main St Apt 8 Sebewaing MI 48759-1698 |
| Practice Telephone | 9898832600 |
| Practice Fax Number | 9898832601 |
| Mailing Telephone | 9898832600 |
| Mailing Fax Number | 9898832601 |
| Enumeration Date | 2013-09-05 |
| Last Update Date | 2013-09-05 |
| Authorized Official Name | DONNA KAY MANARY (STAFF NURSE / HOUSE MANAGER) |
| Authorized Official Telephone | 9898832600 |
| Authorized Official Credential | LPN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
4703095012 | MI | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639504913 | Beacon Specialized Living Services | Assisted Living Facility | 9284 State Highway M35, Gladstone, MI 49837-8801 | 2013-09-05 |
| Street Address |
628 E MAIN ST APT 8 |
| City | SEBEWAING |
| State | MI |
| Zip Code | 48759-1698 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780759803 | Sebewaing Township | Ambulance | 10 Sharpsteen St, Sebewaing, MI 48759 | 2006-11-22 |
| 1821100561 | Dalton P Coe Dds PC | Dentist | 106 E Main St, Sebewaing, MI 48759 | 2006-08-31 |
| 1508380155 | 3 Point Chiropractic Corp | Chiropractor | 211 N Center St, Sebewaing, MI 48759-1001 | 2017-07-26 |
| 1396269957 | Whitney Lorraine Schulz | Chiropractor | 211 N Center St, Sebewaing, MI 48759-1001 | 2017-07-26 |
| 1538441639 | Justin Ray-edward Kuhl | Counselor | 1 W Main St, Sebewaing, MI 48759-1319 | 2011-09-14 |
| 1518060516 | Aaron L. Rackham D.c., PC | Chiropractor | 1 N Center St, Sebewaing, MI 48759-1406 | 2006-09-06 |
| 1124115522 | Richard James Rivers | Chiropractor | 1 N Center St, Sebewaing, MI 48759-1406 | 2006-10-06 |
| 1013431790 | Elexis Jaye Pitcher | Specialist/Technologist | 396 S Center St, Sebewaing, MI 48759-1411 | 2017-08-03 |
| 1417569666 | Nicole Gainforth | Technician, Other | 610 Hickory Ct, Sebewaing, MI 48759-1413 | 2020-08-19 |
| 1912944737 | Paul Blakely Scaddan | Family Medicine | 57 S Center St, Sebewaing, MI 48759-1414 | 2006-06-01 |
| Find all providers in zip 48759 | ||||
| Taxonomy Code | 3104A0625X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| Specialization | Assisted Living, Mental Illness |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154947703 | Bay City Comfort Care | Assisted Living Facility | 4130 Shrestha Dr, Bay City, MI 48706-2184 | 2020-06-19 |
| 1548807142 | Mother of Grace LLC | Assisted Living Facility | 7947 Tulane St, Taylor, MI 48180-2321 | 2019-12-03 |
| 1881231629 | Better Life Residential Care Inc | Assisted Living Facility | 4444 Lincoln Blvd, Dearborn Hts, MI 48125-2568 | 2019-11-27 |
| 1700433042 | Golden Life Afc LLC | Assisted Living Facility | 10710 Roy Dr, Greenville, MI 48838-9105 | 2019-08-21 |
| 1225513468 | Harmony Hearts Village LLC | Assisted Living Facility | 7773 Sherwood St, Detroit, MI 48211-1785 | 2018-10-03 |
| 1699277004 | Leann Renee Gastelum | Assisted Living Facility | 19301 Winthrop St, Detroit, MI 48235 | 2018-03-01 |
| 1245769991 | Mecca House Corporation | Assisted Living Facility | 53 West Huron, Pontiac, MI 48342 | 2017-06-07 |
| 1225564768 | Country Haven | Assisted Living Facility | 413 E Muskegon St, Cedar Springs, MI 49319-9596 | 2017-05-03 |
| 1205382389 | B&r Holistic Care Housing, LLC | Assisted Living Facility | 19303 Mark Twain St, Detroit, MI 48235-1914 | 2016-08-29 |
| 1841683158 | Hill's Support Services Inc. | Assisted Living Facility | 6430 Washington St, Romulus, MI 48174-1742 | 2015-03-11 |
| Find all providers with the same taxonomy | ||||
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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.