Beacon House LLC

Key facts

NPI

1215718697

Entity type

Organization (NPI type 2)

Primary specialty

Psychiatric Residential Treatment Facility 323P00000X

Legal business name

BEACON HOUSE LLC

Practice address

60 S Main St Ste 6
Tooele, UT 84074-2136

Phone

(435) 255-6150

NPI assigned

Oct 11, 2023

Organization subpart

No

Authorized official

Name

Amanda Bonacorso

Title

Executive Administrator

Phone

(435) 255-3285

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Beacon House LLC Case Management Agency · Tooele, UT · NPI 1477368470
  NPPES parent name
• Beacon House LLC Family Medicine Physician · Tooele, UT · NPI 1740094895
  NPPES parent name

Corporate family (same tax ID) 2

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

• Beacon House LLC Case Management Agency · Tooele, UT · NPI 1477368470
  NPD tax ID
• Beacon House LLC Family Medicine Physician · Tooele, UT · NPI 1740094895
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Todd Elwyn Hull Peer Specialist · Tooele, UT · NPI 1790539450
  NPD (past)

National Provider Directory

Tax ID family

Beacon House LLC (3 organizations share this tax ID)

Locations

Specialties & licenses

Addresses

Other providers in Tooele, UT

• Steven Earl Barney
• Leigh Barrington
• Kris K Bartholomew, R.T.(R)(MR)(ARRT)
• Joshua Clark Bassett
• Miriam L. Bateman, R.N.
• Beacon House LLC
• Beacon House LLC
• Michael Scott Bean, OD
• Bear'S Ears Child and Family Therapy LLC
• Beaver Valley Hospital

All providers in Tooele, UT · Psychiatric Residential Treatment Facility in Utah