BEACON SPECIALIZED LIVING WISCONSIN INC.
NPI 1861237349
Assisted Living Facility - Assisted Living, Mental Illness in Port Washington, WI

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

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

Active since June 27, 2024

703 N WISCONSIN ST, PORT WASHINGTON, WI 53074(262) 235-4130 Get Directions Write a Review

NPPES record last updated: June 27, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Beacon Specialized Living Wisconsin Inc. NPPES

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

BEACON SPECIALIZED LIVING WISCONSIN INC. (NPI 1861237349) is a healthcare organization registered as an assisted living, mental illness in Port Washington, Wisconsin and active in the NPI registry since June 2024. The organization lists Robert Longo, Executive Vice President Of Operati, as its authorized official.

NPPES Registry Identity

NPI1861237349

Entity TypeOrganization

Primary Taxonomy3104A0625X

Legal Business NameBEACON SPECIALIZED LIVING WISCONSIN INC.

Location Address703 N WISCONSIN STPort Washington, WI 53074-1647

Mailing Address520 N Powers StPort Washington, WI 53074-1632 · (262) 261-5262 · Fax (262) 268-0775

Phone(262) 235-4130

Organization SubpartNo

Authorized OfficialRobert LongoExecutive Vice President Of Operati · (630) 258-8638

Enumeration DateJune 27, 2024

NPPES CertifiedJune 27, 2024

✔ NPI 1861237349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living Facility · Assisted Living, Mental IllnessNursing & Custodial Care Facilities

Taxonomy Code3104A0625X

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.

703 N WISCONSIN ST, Port Washington, WI 53074

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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 Wisconsin Inc.'s NPI number?

The NPI number for Beacon Specialized Living Wisconsin Inc. is 1861237349. It was assigned to this organization in the NPPES registry on June 27, 2024.

Where is Beacon Specialized Living Wisconsin Inc. located?

Beacon Specialized Living Wisconsin Inc. is located at 703 N Wisconsin St, Port Washington, WI 53074. The listed phone number is (262) 235-4130.

What is Beacon Specialized Living Wisconsin Inc.'s specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

When was this NPI record last updated?

The NPPES record for Beacon Specialized Living Wisconsin Inc. was last updated on June 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.