NPIMap

Organization Active NPI

Beacon Respiratory Services, Inc.

  • Oxygen Equipment & Supplies (DME)
  • Jacksonville, FL
National Provider Identifier
1295880904
Registry record updated Sep 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
BEACON RESPIRATORY SERVICES, INC.
Practice address
6550 Saint Augustine Rd
Suite 101
Jacksonville, FL 32217-2835
Phone
(904) 332-0656
Fax
(904) 332-9404
NPI assigned
Jan 24, 2007
Organization subpart
Yes
Parent organization
ARCADIA PRODUCTSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 19, 2007

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

Authorized official

Name
Ellyn Riley
Title
Contracting
Phone
(407) 206-0040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X Primary

Addresses

Primary practice location

6550 Saint Augustine Rd
Suite 101
Jacksonville, FL 32217-2835

Mailing address

26777 Central Park Blvd
Suite 200
Southfield, MI 48076-4162
Phone (248) 352-7530

Other names 1

  • Arcadia H.O.M.E. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Beacon Respiratory Services of Alabama Inc9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Locations

6550 Saint Augustine Rd
Ste 101
Jacksonville, FL 32217
Phone (904) 332-0656

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190160000000",
    "number": "1295880904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26777 CENTRAL PARK BLVD",
            "address_2": "SUITE 200",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480764162",
            "telephone_number": "248-352-7530",
            "fax_number": "248-352-5189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6550 SAINT AUGUSTINE RD",
            "address_2": "SUITE 101",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322172835",
            "telephone_number": "904-332-0656",
            "fax_number": "904-332-9404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON RESPIRATORY SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ARCADIA PRODUCTS",
        "enumeration_date": "2007-01-24",
        "last_updated": "2007-09-19",
        "status": "A",
        "authorized_official_last_name": "RILEY",
        "authorized_official_first_name": "ELLYN",
        "authorized_official_title_or_position": "CONTRACTING",
        "authorized_official_telephone_number": "407-206-0040"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arcadia H.O.M.E.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2007; 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.