NPIMap

Organization Active NPI

Beach House, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Toledo, OH
National Provider Identifier
1184230906
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
BEACH HOUSE, INC.
Practice address
2283 Ashland Ave
Toledo, OH 43620-1205
Phone
(419) 244-2175
Fax
(419) 244-2253
NPI assigned
Sep 17, 2020
Reactivated
Nov 6, 2024
Last updated
Nov 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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

Authorized official

Name
Angelique Glyda
Title
Credentialing Manager
Phone
(419) 380-0116

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

2283 Ashland Ave
Toledo, OH 43620-1205

Mailing address

2283 Ashland Ave
Toledo, OH 43620-1205
Phone (419) 244-2175

National Provider Directory

National Provider Directory

Locations

2283 Ashland Ave
Toledo, OH 43620
Phone (419) 241-9277

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1600300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730851200000",
    "number": "1184230906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2283 ASHLAND AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436201205",
            "telephone_number": "419-244-2175",
            "fax_number": "419-244-2253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2283 ASHLAND AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436201205",
            "telephone_number": "419-244-2175",
            "fax_number": "419-244-2253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACH HOUSE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-17",
        "last_updated": "2024-11-06",
        "certification_date": "2020-09-17",
        "deactivation_date": "2024-10-11",
        "reactivation_date": "2024-11-06",
        "status": "A",
        "authorized_official_last_name": "GLYDA",
        "authorized_official_first_name": "ANGELIQUE",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "419-380-0116"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.