BEACON SPECIALIZED LIVING NEW JERSEY INC. NPI 1801599436

NPI Information

  • NPI: 1801599436
  • Provider Name: BEACON SPECIALIZED LIVING NEW JERSEY, INC.
  • Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
  • Entity Type: Organization
  • Address: FORGE AT MANALAPAN CROSSING
    400 CROSSING LANE, APARTMENT 306
    MANALAPAN, NJ
    ZIP 07726
  • Phone: (732) 677-1163

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NPI Details

BEACON SPECIALIZED LIVING NEW JERSEY, INC. is a residential treatment facility, intellectual and/or developmental disabilities in Manalapan, NJ. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. BEACON SPECIALIZED LIVING NEW JERSEY, INC. NPI is 1801599436. The provider is registered as an organization entity type.

The provider's business location address is:

FORGE AT MANALAPAN CROSSING
400 CROSSING LANE, APARTMENT 306
MANALAPAN, NJ
ZIP 07726
Phone: (732) 677-1163

The provider's authorized official is Darren Hodgdon .
The authorized official title is Chief Executive Officer and has the following contact phone number (269) 427-8400.

The enumeration date for this NPI number is 3/23/2023 and was last updated on 2/8/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10450858187MEDICAIDNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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