Active NPI
Beacon Group, Inc.
Doing business as Beacon Group SW Inc
- Community/Behavioral Health Agency
- Tucson, AZ
National Provider Identifier
1104932250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- BEACON GROUP, INC.
- Doing business as
- Beacon Group SW Inc
- Practice address
- 308 W Glenn
Tucson, AZ 85705 - Phone
- (520) 622-4874
- Fax
- (520) 620-6620
- NPI assigned
- Aug 22, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Natalya Brown, CPA
- Title
- Cfo
- Phone
- (520) 622-4874
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
308 W Glenn
Tucson, AZ 85705
Mailing address
308 W Glenn St
Tucson, AZ 85705-4433
Phone (520) 622-4874
Other practice location 1
2700 N Stone Ave
Tucson, AZ 85705-5072
Phone (520) 622-4874
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 634495 | Other | AZ | ARIZONA DEPARTMENT OF DEVELOPEMENTAL DISABILITIES |
| 113035 | Other | AZ | PIMA HEALTH SYSTEM |
Other names 1
- Beacon Group SW Inc
National Provider Directory
National Provider Directory- Tax ID family
- Beacon Group Inc
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Developmentally Disabled Services Day Training Agency
- Phoenix, AZ
- NPI 1053894162
-
dba Beacon Group dba Tetra Services
- Community/Behavioral Health Agency
- Phoenix, AZ
- NPI 1124173695
-
- Community/Behavioral Health Agency
- Tucson, AZ
- NPI 1801622501
Locations
308 W Glenn St
Tucson, AZ 85705
Phone (520) 622-4874
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1719964800000",
"number": "1104932250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "308 W GLENN ST",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857054433",
"telephone_number": "520-622-4874",
"fax_number": "520-620-6620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "308 W GLENN",
"city": "TUCSON",
"state": "AZ",
"postal_code": "85705",
"telephone_number": "520-622-4874",
"fax_number": "520-620-6620"
}
],
"practiceLocations": [
{
"address_1": "2700 N Stone Ave",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857055072",
"country_code": "US",
"telephone_number": "520-622-4874",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "BEACON GROUP, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-22",
"last_updated": "2024-07-03",
"certification_date": "2024-07-03",
"status": "A",
"authorized_official_last_name": "BROWN",
"authorized_official_first_name": "NATALYA",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "520-622-4874",
"authorized_official_credential": "CPA"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARIZONA DEPARTMENT OF DEVELOPEMENTAL DISABILITIES",
"identifier": "634495",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PIMA HEALTH SYSTEM",
"identifier": "113035",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Beacon Group SW Inc",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Beacon Group SW Inc",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.