BEACON SPECIALIZED LIVING SERVICES, INC.
NPI 1790835296
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Bangor, MI

NPI Status: Active since January 10, 2007

Contact Information

555 RAILROAD ST
BANGOR, MI
ZIP 49013
Phone: (269) 427-8400
Fax: (269) 427-6027

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  • Organization
  • Residential Treatment Facility, Intellec...

About BEACON SPECIALIZED LIVING SERVICES, INC.

This page provides the complete NPI Profile along with additional information for Beacon Specialized Living Services, Inc., a provider established in Bangor, Michigan operating as a Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1790835296 assigned on January 2007. The practitioner's primary taxonomy code is 320600000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. Beacon Specialized Living Services, Inc. operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Ken Ratzlaff (President, Ceo)

NPI
1790835296
Provider Name
BEACON SPECIALIZED LIVING SERVICES, INC.
Entity Type
Organization
Location Address
555 RAILROAD ST BANGOR, MI 49013
Location Phone
(269) 427-8400
Location Fax
(269) 427-6027
Mailing Address
555 RAILROAD ST P.O. BOX 69 BANGOR, MI 49013
Mailing Phone
(269) 427-8400
Mailing Fax
(269) 427-6027
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-10-2007
Last Update Date
03-31-2015
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Taxonomy Code
320600000X
Type
Residential Treatment Facilities
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

 
2251E00000XAgencies

Home Health

 
3310400000XNursing & Custodial Care Facilities

Assisted Living Facility

 
4320800000XResidential Treatment Facilities

Community Based Residential Treatment Facility, Mental Illness

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KEN RATZLAFF

Authorized Official Title
PRESIDENT, CEO
Authorized Official Phone
(269) 427-8400

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1790835296, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
0
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
3
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
2
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 8 → 16 → 7 5 → 10 → 1 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 1 + 8 + 0 + 1 + 6 + 3 + 1 + 0 + 2 + 1 + 8 + 24 = 64

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1790835296.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Physician Assistant
555 RAILROAD ST
BANGOR, MI 49013
Registered Nurse
555 RAILROAD ST
BANGOR, MI 49013
Social Worker (Clinical)
555 RAILROAD ST
BANGOR, MI 49013
Family Medicine
555 RAILROAD ST
BANGOR, MI 49013

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790835296, enumerated as an "organization" on January 10, 2007.

The provider is located at 555 RAILROAD ST BANGOR, MI 49013 and the phone number is (269) 427-8400.

Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.