Organization Active NPI

Beacon Group, Inc.

Doing business as Beacon Group SW Inc

  • Community/Behavioral Health Agency
  • Tucson, AZ
National Provider Identifier
1104932250
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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

Updated by the provider on Jul 3, 2024

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
634495OtherAZARIZONA DEPARTMENT OF DEVELOPEMENTAL DISABILITIES
113035OtherAZPIMA HEALTH SYSTEM

Other names 1

  • Beacon Group SW Inc Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Beacon Group Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

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.

Verify at the official NPI Registry.