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BEACON SPECIALIZED LIVING MISSOURI INC
NPI 1770340382
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Independence, MO

Active since February 29, 2024
19401 E 40 HWY STE 100, INDEPENDENCE, MO 64055(417) 689-3302 Get Directions Write a Review

NPPES record last updated: November 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Beacon Specialized Living Missouri Inc NPPES

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

BEACON SPECIALIZED LIVING MISSOURI INC (NPI 1770340382) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Independence, Missouri and active in the NPI registry since February 2024. The organization lists Francis Joe Trebbe, Vice President Of Operations, as its authorized official.

NPPES Registry Identity

NPI1770340382
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameBEACON SPECIALIZED LIVING MISSOURI INC
Location Address19401 E 40 HWY STE 100Independence, MO 64055-5400
Mailing Address19401 E 40 Hwy Ste 100Independence, MO 64055-5400 · (417) 689-3302
Phone(417) 689-3302
Organization SubpartNo
Authorized OfficialFrancis Joe TrebbeVice President Of Operations · (417) 689-3302
Enumeration DateFebruary 29, 2024
Last NPPES UpdateNovember 20, 2024
NPPES CertifiedNovember 20, 2024
✔ NPI 1770340382 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
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
19401 E 40 HWY STE 100, Independence, MO 64055
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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 Missouri Inc's NPI number?

The NPI number for Beacon Specialized Living Missouri Inc is 1770340382. It was assigned to this organization in the NPPES registry on February 29, 2024.

Where is Beacon Specialized Living Missouri Inc located?

Beacon Specialized Living Missouri Inc is located at 19401 E 40 Hwy Ste 100, Independence, MO 64055. The listed phone number is (417) 689-3302.

What is Beacon Specialized Living Missouri 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 Beacon Specialized Living Missouri Inc was last updated on November 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.