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BEACON SPECIALIZED LIVING OHIO INC
NPI 1861272270
Intermediate Care Facility, Intellectual Disabilities in Dayton, OH

Active since October 03, 2023
1125 GREEN TREE DR, DAYTON, OH 45429(614) 330-3073 Get Directions Write a Review

NPPES record last updated: October 3, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Beacon Specialized Living Ohio Inc NPPES

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

BEACON SPECIALIZED LIVING OHIO INC (NPI 1861272270), doing business as Beacon Specialized Living, is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Dayton, Ohio and active in the NPI registry since October 2023. The organization lists Janet L Pell, Vp Of Ops/biz Dev, as its authorized official.

NPPES Registry Identity

NPI1861272270
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameBEACON SPECIALIZED LIVING OHIO INC
Location Address1125 GREEN TREE DRDayton, OH 45429-6104
Mailing Address967 Worthington Woods Loop Rd Ste 110Worthington, OH 43085-5743 · (614) 330-3073
Phone(614) 330-3073
Organization SubpartYesParent: Keystone Community Resources, Inc.
Authorized OfficialJanet L PellVp Of Ops/biz Dev · (614) 330-3073
Enumeration DateOctober 3, 2023
NPPES CertifiedOctober 3, 2023
✔ NPI 1861272270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
1125 GREEN TREE DR, Dayton, OH 45429
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Other Names 1

Doing Business AsBeacon Specialized Living

Other Providers at the Same Location NPPES 7

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

I AM BOUNDLESS, INC
Intermediate Care Facility, Intellectual Disabilities
1125 GREEN TREE DR
DAYTON, OH 45429
Montgomery County (614) 844-3800
KYLA HELMUTH
Case Manager/Care Coordinator
1125 GREEN TREE DR
CENTERVILLE, OH 45429
Montgomery County (614) 844-3800
MEGAN HOFFMAN
Case Manager/Care Coordinator
1125 GREEN TREE DR
CENTERVILLE, OH 45429
Montgomery County (614) 844-3800
LUIS RUIZ
Case Manager/Care Coordinator
1125 GREEN TREE DR
CENTERVILLE, OH 45429
Montgomery County (614) 844-3800
STACIE BELL
Case Manager/Care Coordinator
1125 GREEN TREE DR
CENTERVILLE, OH 45429
Montgomery County (614) 844-3800
BRANDY JONES
Case Manager/Care Coordinator
1125 GREEN TREE DR
CENTERVILLE, OH 45429
Montgomery County (614) 844-3800
DAVID P JENKINS
Case Manager/Care Coordinator
1125 GREEN TREE DR
CENTERVILLE, OH 45429
Montgomery County (614) 844-3800

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 Ohio Inc's NPI number?

The NPI number for Beacon Specialized Living Ohio Inc is 1861272270. It was assigned to this organization in the NPPES registry on October 3, 2023. The provider is doing business as Beacon Specialized Living.

Where is Beacon Specialized Living Ohio Inc located?

Beacon Specialized Living Ohio Inc is located at 1125 Green Tree Dr, Dayton, OH 45429. The listed phone number is (614) 330-3073.

What is Beacon Specialized Living Ohio Inc's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

When was this NPI record last updated?

The NPPES record for Beacon Specialized Living Ohio Inc was last updated on October 3, 2023. 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.