BEACON SPECIALIZED LIVING MINNESOTA, INC.; NPI #1528174349

Contact Information

BEACON SPECIALIZED LIVING MINNESOTA, INC.

1355 MENDOTA HEIGHTS ROAD
SUITE 260
MENDOTA HEIGHTS, MN 55120

Phone: 651-451-2889
Fax: 651-451-5955
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Adult Day Care	261QA0600X
Assisted Living Facility	310400000X
Assisted Living, Behavioral Disturbances	3104A0630X
Custodial Care Facility	311Z00000X
Psychologist	103T00000X	62	Psychologist, Clinical

Indicates primary specialty

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

NPI Number 1528174349

LBN Legal business name BEACON SPECIALIZED LIVING MINNESOTA, INC.

Authorized official BARBARA TURNER - (VICE PRESIDENT OF OPERATIONS)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/22/2006

Last updated 07/26/2021 - About 5 years ago

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 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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BEACON SPECIALIZED LIVING MINNESOTA, INC.

Contact Information

Specialty

Adult Day Care

Assisted Living Facility

Assisted Living, Behavioral Disturbances

Custodial Care Facility

Psychologist

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

Reviews for BEACON SPECIALIZED LIVING MINNESOTA, INC.