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BEACON SPECIALIZED LIVING OHIO INC
NPI 1255010070
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Fairborn, OH

Active since July 18, 2023
1293 REDBUD DR, FAIRBORN, OH 45324(937) 874-5001 Get Directions Write a Review

NPPES record last updated: July 18, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Beacon Specialized Living Ohio Inc NPPES

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

BEACON SPECIALIZED LIVING OHIO INC (NPI 1255010070) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Fairborn, Ohio and active in the NPI registry since July 2023. The organization lists Janet Pell, Vp Of Ops/biz Development, as its authorized official.

NPPES Registry Identity

NPI1255010070
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameBEACON SPECIALIZED LIVING OHIO INC
Location Address1293 REDBUD DRFairborn, OH 45324-5834
Mailing Address967 Worthington Woods Loop RdWorthington, OH 43085-5743 · (614) 330-3073
Phone(937) 874-5001
Organization SubpartYesParent: Keystone Community Resources, Inc.
Authorized OfficialJanet PellVp Of Ops/biz Development · (614) 330-3073
Enumeration DateJuly 18, 2023
NPPES CertifiedJuly 13, 2023
✔ NPI 1255010070 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.
1293 REDBUD DR, Fairborn, OH 45324
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Other Providers at the Same Location NPPES 6

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

DELETHA BODY
Case Manager/Care Coordinator
1293 REDBUD DR
FAIRBORN, OH 45324
Greene County (614) 844-3800
KE'MIYA BEBBS
Case Manager/Care Coordinator
1293 REDBUD DR
FAIRBORN, OH 45324
Greene County (614) 844-3800
NAKISHA JACKSON
Case Manager/Care Coordinator
1293 REDBUD DR
FAIRBORN, OH 45324
Greene County (614) 844-3800
AMBER HILL
Case Manager/Care Coordinator
1293 REDBUD DR
FAIRBORN, OH 45324
Greene County (614) 844-3800
I AM BOUNDLESS, INC
Intermediate Care Facility, Intellectual Disabilities
1293 REDBUD DR
FAIRBORN, OH 45324
Greene County (614) 844-3800
DARIEN MOORE
Case Manager/Care Coordinator
1293 REDBUD DR
FAIRBORN, OH 45324
Greene County (614) 844-3800

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 Ohio Inc's NPI number?

The NPI number for Beacon Specialized Living Ohio Inc is 1255010070. It was assigned to this organization in the NPPES registry on July 18, 2023.

Where is Beacon Specialized Living Ohio Inc located?

Beacon Specialized Living Ohio Inc is located at 1293 Redbud Dr, Fairborn, OH 45324. The listed phone number is (937) 874-5001.

What is Beacon Specialized Living Ohio 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 Ohio Inc was last updated on July 18, 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.