BEACON SPECIALIZED LIVING NEW JERSEY, INC. - NPI 1194424861 - Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Jackson, NJ

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

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

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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 1194424861) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Jackson, 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

NPI1194424861

Entity TypeOrganization

Primary Taxonomy320600000X

Legal Business NameBEACON SPECIALIZED LIVING NEW JERSEY, INC.

Location Address12 THOMPSON BRIDGE RDJackson, NJ 08527-4618

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

Phone(732) 928-1071

Organization SubpartNo

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

Enumeration DateMarch 1, 2023

Last NPPES UpdateMarch 2, 2023

NPPES CertifiedMarch 2, 2023

✔ NPI 1194424861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320600000X

Definition

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

12 THOMPSON BRIDGE RD, Jackson, NJ 08527

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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

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

12 THOMPSON BRIDGE RD
JACKSON, NJ 08527

Ocean 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 1194424861. It was assigned to this organization in the NPPES registry on March 1, 2023.

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

Beacon Specialized Living New Jersey, Inc. is located at 12 Thompson Bridge Rd, Jackson, NJ 08527. The listed phone number is (732) 928-1071.

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

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Beacon Specialized Living New Jersey, Inc. was last updated on March 2, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.