National Provider Identifier Database

BEACON SPECIALIZED LIVING MINNESOTA INC
Adult Day Care


Contact Information

BEACON SPECIALIZED LIVING MINNESOTA, INC.
1355 MENDOTA HEIGHTS ROAD
SUITE 260
MENDOTA HEIGHTS, MN55120
Phone: 651-451-2889
Fax: 651-451-5955
Website:
Specialty Taxonomy Code
* Adult Day Care 261QA0600X
Assisted Living Facility 310400000X
Assisted Living, Behavioral Disturbances 3104A0630X
Custodial Care Facility 311Z00000X
Psychologist 103T00000X

* Indicates primary specialty

NPI Profile & details for BEACON SPECIALIZED LIVING MINNESOTA, INC.

NPI Number 1528174349
Legal business name
LBN
BEACON SPECIALIZED LIVING MINNESOTA, INC.
Authorized official BARBARA TURNER - (VICE PRESIDENT OF OPERATIONS)
Entity Organization
Organization subpart No
Enumeration date 08/22/2006
Last updated 07/26/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers
  • MN License #: LP2482
  • MN Medicaid: 108343100
  • MN Medicaid: 196680400
  • MN Medicaid: 211817300
  • MN Medicaid: 24G272
  • MN Medicaid: 339343700
  • MN Medicaid: 392150600
  • MN Medicaid: 579133200
  • MN Medicaid: 706520500
  • MN Other: 246318 MEDICAID

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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