BEACON CHRISTIAN COMMUNITY HEALTH CENTER INC
NPI 1407637234
Community/Behavioral Health in Staten Island, NY

Q: What is Beacon Christian Community Health Center Inc's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Active since October 09, 2023CLIA 33D2006276 · Waiver

2031 FOREST AVE STE 2, STATEN ISLAND, NY 10303(718) 815-6560 Get Directions Write a Review

NPPES record last updated: October 9, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Beacon Christian Community Health Center Inc NPPES

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

BEACON CHRISTIAN COMMUNITY HEALTH CENTER INC (NPI 1407637234) is a healthcare organization registered as a community/behavioral health in Staten Island, New York and active in the NPI registry since October 2023. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists David Hoi Kim, Ceo, as its authorized official.

NPPES Registry Identity

NPI1407637234

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameBEACON CHRISTIAN COMMUNITY HEALTH CENTER INC

Location Address2031 FOREST AVE STE 2Staten Island, NY 10303-1796

Mailing Address2079 Forest AveStaten Island, NY 10303-1865 · (718) 815-6560

Phone(718) 815-6560

Organization SubpartNo

Authorized OfficialDavid Hoi KimCeo · (718) 815-6560

Enumeration DateOctober 9, 2023

NPPES CertifiedOctober 9, 2023

✔ NPI 1407637234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, 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.

2031 FOREST AVE STE 2, Staten Island, NY 10303

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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2006276

Beacon Christian Community Health Center · Staten Island, NY

Active · expires Mar 26, 2027

CLIA Number33D2006276

Laboratory TypeFederally Qualified Health Center

Certificate Effective DateApril 16, 2010

Certificate Expiration DateMarch 26, 2027

Laboratory DirectorDr. Janet J. Kim

Laboratory Phone(718) 815-6560

Laboratory LocationBeacon Christian Community Health Center2079 Forest Avenue, Staten Island, NY 10303

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

MS. ABIGAIL DALI MORALES

Counselor (Mental Health)

2031 FOREST AVE STE 2
STATEN ISLAND, NY 10303

Richmond County (718) 815-6560

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 Christian Community Health Center Inc's NPI number?

The NPI number for Beacon Christian Community Health Center Inc is 1407637234. It was assigned to this organization in the NPPES registry on October 9, 2023.

Where is Beacon Christian Community Health Center Inc located?

Beacon Christian Community Health Center Inc is located at 2031 Forest Ave Ste 2, Staten Island, NY 10303. The listed phone number is (718) 815-6560.

What is Beacon Christian Community Health Center Inc's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Does Beacon Christian Community Health Center Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2006276) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Beacon Christian Community Health Center Inc was last updated on October 9, 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.