BEACONWAY ISL I, LLC
NPI 1982872149
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Marshall, MO

Q: What is Beaconway Isl I, LLC's NPI number?

The NPI number for Beaconway Isl I, LLC is 1982872149. It was assigned to this organization in the NPPES registry on February 11, 2008.

Q: What is Beaconway Isl I, LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

Active since February 11, 2008

2606 VILLA CT, MARSHALL, MO 65340(660) 229-0175(660) 831-1189 Get Directions Write a Review

NPPES record last updated: February 26, 2008. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Beaconway Isl I, Llc NPPES

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

BEACONWAY ISL I, LLC (NPI 1982872149) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Marshall, Missouri and active in the NPI registry since February 2008. The organization lists Ben Rogers, President, as its authorized official.

NPPES Registry Identity

NPI1982872149

Entity TypeOrganization

Primary Taxonomy320900000X

Legal Business NameBEACONWAY ISL I, LLC

Location Address2606 VILLA CTMarshall, MO 65340-9711

Mailing Address2606 Villa CtMarshall, MO 65340-9711 · (660) 229-0175 · Fax (660) 831-1189

Phone(660) 229-0175

Fax(660) 831-1189

Organization SubpartNo

Authorized OfficialBen RogersPresident · (660) 726-3415

Enumeration DateFebruary 11, 2008

Last NPPES UpdateFebruary 26, 2008

✔ NPI 1982872149 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.

2606 VILLA CT, Marshall, MO 65340

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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 Beaconway Isl I, LLC's NPI number?

The NPI number for Beaconway Isl I, LLC is 1982872149. It was assigned to this organization in the NPPES registry on February 11, 2008.

Where is Beaconway Isl I, LLC located?

Beaconway Isl I, LLC is located at 2606 Villa Ct, Marshall, MO 65340. The listed phone number is (660) 229-0175.

What is Beaconway Isl I, LLC'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 Beaconway Isl I, LLC was last updated on February 26, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.