NPIMap

Organization Active NPI

Beacon Behavioral Hospital Northshore

  • Substance Use Disorder Rehabilitation Hospital Unit
  • Lacombe, LA
National Provider Identifier
1083296156
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Hospital UnitTaxonomy code 276400000X
Legal business name
BEACON BEHAVIORAL HOSPITAL NORTHSHORE
Practice address
64026 Highway 434 Ste 300
Lacombe, LA 70445-5417
Phone
(985) 882-0226
Fax
(985) 882-9853
NPI assigned
Apr 27, 2021
Last updated
Apr 27, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2021

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

Authorized official

Name
Phillip Sean Wendell
Title
Ceo
Phone
(225) 810-4040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Hospital Unit 276400000X Primary

Addresses

Primary practice location

64026 Highway 434 Ste 300
Lacombe, LA 70445-5417

Mailing address

4601 Bluebonnet Blvd Ste B
Baton Rouge, LA 70809-9656
Phone (225) 810-4040

National Provider Directory

National Provider Directory
Tax ID family
Beacon Behavioral Hospital Northshore LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1619481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619481600000",
    "number": "1083296156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 BLUEBONNET BLVD STE B",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708099656",
            "telephone_number": "225-810-4040",
            "fax_number": "225-810-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64026 HIGHWAY 434 STE 300",
            "city": "LACOMBE",
            "state": "LA",
            "postal_code": "704455417",
            "telephone_number": "985-882-0226",
            "fax_number": "985-882-9853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON BEHAVIORAL HOSPITAL NORTHSHORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-27",
        "last_updated": "2021-04-27",
        "certification_date": "2021-03-31",
        "status": "A",
        "authorized_official_last_name": "WENDELL",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "SEAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "225-810-4040"
    },
    "taxonomies": [
        {
            "code": "276400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation, Substance Use Disorder Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lacombe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; 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.