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

Q: What is Beacon Specialized Living Services, Inc.'s specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

Active since January 10, 2007

555 RAILROAD ST, BANGOR, MI 49013(269) 427-8400(269) 427-6027 Get Directions Write a Review

NPPES record last updated: March 31, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Beacon Specialized Living Services, Inc. NPPES

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

BEACON SPECIALIZED LIVING SERVICES, INC. (NPI 1790835296) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Bangor, Michigan and active in the NPI registry since January 2007. The organization lists Ken Ratzlaff, President, Ceo, as its authorized official.

NPPES Registry Identity

NPI1790835296

Entity TypeOrganization

Primary Taxonomy320600000X

Legal Business NameBEACON SPECIALIZED LIVING SERVICES, INC.

Location Address555 RAILROAD STBangor, MI 49013-1464

Mailing Address555 Railroad St, P.o. Box 69Bangor, MI 49013-1464 · (269) 427-8400 · Fax (269) 427-6027

Phone(269) 427-8400

Fax(269) 427-6027

Organization SubpartNo

Authorized OfficialKen RatzlaffPresident, Ceo · (269) 427-8400

Enumeration DateJanuary 10, 2007

Last NPPES UpdateMarch 31, 2015

✔ NPI 1790835296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ 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.

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedHome HealthTaxonomy 251E00000X

Also ListedAssisted Living FacilityTaxonomy 310400000X

Also ListedCommunity Based Residential Treatment Facility, Mental IllnessTaxonomy 320800000X

555 RAILROAD ST, Bangor, MI 49013

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

CHARLES DAVID JOHNS RN

Registered Nurse

555 RAILROAD ST
BANGOR, MI 49013

Van Buren County (269) 427-6171

BEACON SPECIALIZED LIVING SERVICES INC

Family Medicine

555 RAILROAD ST
BANGOR, MI 49013

Van Buren County (269) 427-8400

MRS. SHIRLEY E SANDERS P.A.C.

Physician Assistant

555 RAILROAD ST
BANGOR, MI 49013

Van Buren County (269) 427-6171

LINDSY BARTON LMSW

Social Worker (Clinical)

555 RAILROAD ST
BANGOR, MI 49013

Van Buren County (269) 427-6171

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 Services, Inc.'s NPI number?

The NPI number for Beacon Specialized Living Services, Inc. is 1790835296. It was assigned to this organization in the NPPES registry on January 10, 2007.

Where is Beacon Specialized Living Services, Inc. located?

Beacon Specialized Living Services, Inc. is located at 555 Railroad St, Bangor, MI 49013. The listed phone number is (269) 427-8400.

What is Beacon Specialized Living Services, 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 Services, Inc. was last updated on March 31, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.