Beacon of Hope House

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

0312954 Issued in NY

Legal business name

BEACON OF HOPE HOUSE

Practice address

1011 1St Ave
11TH Floor
New York, NY 10022-4112

Phone

(212) 371-1011

Fax

(212) 350-9948

NPI assigned

Jul 26, 2007

Last updated

Dec 20, 2012By the provider in NPPES

Organization subpart

Yes

Parent organization

CATHOLIC CHARITIES COMMUNITY SERVICES, ARCHDIOCESE OF NEW YORKAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Beatriz Diaz Taveras, MBA

Title

Executive Director

Phone

(212) 371-1011

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Margaret a Fitzpatrick

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355961600000",
    "number": "1023208048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 1ST AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100224112",
            "telephone_number": "212-371-1011",
            "fax_number": "212-350-9948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 1ST AVE",
            "address_2": "11TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100224112",
            "telephone_number": "212-371-1011",
            "fax_number": "212-350-9948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON OF HOPE HOUSE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CATHOLIC CHARITIES COMMUNITY SERVICES, ARCHDIOCESE OF NEW YORK",
        "enumeration_date": "2007-07-26",
        "last_updated": "2012-12-20",
        "status": "A",
        "authorized_official_last_name": "TAVERAS",
        "authorized_official_first_name": "BEATRIZ",
        "authorized_official_middle_name": "DIAZ",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "212-371-1011",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NY",
            "license": "0312954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0312954",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Craig A Beach, MD
• James Beacher, PSYD
• Jasmine Nina Beacken, M.A., CCC-SLP
• Susanna Beacom, L.M.S.W.
• Beacon Christian Community Health Center, Inc.
• Beacon Psychology Practice, PLLC (Beacon Psychology)
• Kristen Lynn Beades, MA, CCC-SLP
• Amanda Louise Beahm
• Clinton Edward Beahm
• Fanta Beal

• Mental Illness Community Based Residential Treatment Facility in New York, NY
• Providers in New York, NY by specialty
• Mental Illness Community Based Residential Treatment Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.