BEACON SPECIALIZED LIVING NEW JERSEY, INC.
NPI 1104525831
In Home Supportive Care in Ewing, NJ

Q: What is Beacon Specialized Living New Jersey, Inc.'s specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

Active since March 02, 2023

1015 WHITEHEAD ROAD EXT APT 124, EWING, NJ 08638(609) 987-5003 Get Directions Write a Review

NPPES record last updated: March 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 6, 2023, Mar 2, 2023 (2 updates tracked since 2023).

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About Beacon Specialized Living New Jersey, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BEACON SPECIALIZED LIVING NEW JERSEY, INC. (NPI 1104525831) is a healthcare organization registered as an in home supportive care in Ewing, New Jersey and active in the NPI registry since March 2023. The organization lists Darren Hodgdon, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1104525831

Entity TypeOrganization

Primary Taxonomy253Z00000X

Legal Business NameBEACON SPECIALIZED LIVING NEW JERSEY, INC.

Location Address1015 WHITEHEAD ROAD EXT APT 124Ewing, NJ 08638-2433

Mailing Address13 Roszel Rd Ste B110Princeton, NJ 08540-6211 · (609) 987-5003 · Fax (609) 520-7979

Phone(609) 987-5003

Organization SubpartNo

Authorized OfficialDarren HodgdonChief Executive Officer · (269) 427-8400

Enumeration DateMarch 2, 2023

Last NPPES UpdateMarch 6, 20232 updates tracked since enumeration

NPPES CertifiedMarch 6, 2023

✔ NPI 1104525831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIn Home Supportive CareAgencies

Taxonomy Code253Z00000X

Definition

An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.

1015 WHITEHEAD ROAD EXT APT 124, Ewing, NJ 08638

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Other Identifiers 1

Medicaid0450858187NJ

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ENABLE, INC.

In Home Supportive Care

1015 WHITEHEAD ROAD EXT APT 124
EWING, NJ 08638

Mercer County (609) 987-5003

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Beacon Specialized Living New Jersey, Inc.'s NPI number?

The NPI number for Beacon Specialized Living New Jersey, Inc. is 1104525831. It was assigned to this organization in the NPPES registry on March 2, 2023.

Where is Beacon Specialized Living New Jersey, Inc. located?

Beacon Specialized Living New Jersey, Inc. is located at 1015 Whitehead Road Ext Apt 124, Ewing, NJ 08638. The listed phone number is (609) 987-5003.

What is Beacon Specialized Living New Jersey, Inc.'s specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

When was this NPI record last updated?

The NPPES record for Beacon Specialized Living New Jersey, Inc. was last updated on March 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.