1. Home
  2. Directory
  3. Ohio
  4. Geneva
  5. Community Based Residential Treatment Facility Intellectual And Or Developmental Disabilities
  6. NPI Profile

BEACH CLUB RESIDENTIAL LIVING INC
NPI 1740404870
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Geneva, OH

Active since April 12, 2007
5254 LAKE RD E, SUITE #3, GENEVA, OH 44041(440) 466-0988(440) 466-0315 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Beach Club Residential Living Inc NPPES

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

BEACH CLUB RESIDENTIAL LIVING INC (NPI 1740404870) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Geneva, Ohio and active in the NPI registry since April 2007. The organization lists Luann Kay Busch, Owner, as its authorized official.

NPPES Registry Identity

NPI1740404870
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameBEACH CLUB RESIDENTIAL LIVING INC
Location Address5254 LAKE RD E, SUITE #3Geneva, OH 44041-9490
Mailing Address5254 Lake Rd E, Suite #3Geneva, OH 44041-9490 · (440) 466-0988 · Fax (440) 466-0315
Phone(440) 466-0988
Fax(440) 466-0315
Organization SubpartNo
Authorized OfficialLuann Kay BuschOwner · (440) 466-0988
Enumeration DateApril 12, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1740404870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
License✔ Licensed in OH · 2056975
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
5254 LAKE RD E, Geneva, OH 44041
Open in Google Maps ↗

Other Identifiers 2

Medicaid2056975OH
Other0400355OH · Contract Number

Other Providers at the Same Location NPPES

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

CLEARWATER HOMES INC
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
5254 LAKE RD E
GENEVA, OH 44041
Ashtabula County (440) 319-9364

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 Beach Club Residential Living Inc's NPI number?

The NPI number for Beach Club Residential Living Inc is 1740404870. It was assigned to this organization in the NPPES registry on April 12, 2007.

Where is Beach Club Residential Living Inc located?

Beach Club Residential Living Inc is located at 5254 Lake Rd E Suite #3, Geneva, OH 44041. The listed phone number is (440) 466-0988.

What is Beach Club Residential Living Inc's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Beach Club Residential Living Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.