The Beacon House Group Home LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

THE BEACON HOUSE GROUP HOME LLC

Practice address

65 Sanders LN
Cheraw, SC 29520-6663

Phone

(843) 865-7005

NPI assigned

Feb 16, 2018

Organization subpart

No

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

Authorized official

Name

Patricia McCormick Evans, MA, LPC

Title

Owner

Phone

(843) 865-7005

Specialties & licenses 1

Addresses

Practitioners 1

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

• Patricia Evans Morrisey, LPCS

  • Professional Counselor
  • Rockingham, NC
  • NPI 1841536448
  NPD

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

{
    "created_epoch": "1518739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518739200000",
    "number": "1437659323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 882",
            "city": "CHERAW",
            "state": "SC",
            "postal_code": "295200882",
            "telephone_number": "910-995-7918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 SANDERS LN",
            "city": "CHERAW",
            "state": "SC",
            "postal_code": "295206663",
            "telephone_number": "843-865-7005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BEACON HOUSE GROUP HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-16",
        "last_updated": "2018-02-16",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "MCCORMICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-865-7005",
        "authorized_official_credential": "MA, LPC"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jackie P. Stafford, DNP
• Marvin Salamanca Sto Domingo, PT
• Cooper Ellis Stone
• Tracy J Teal, NP
• The Art of Living Daily, Inc.
• Jude M. Thomas, MD
• Mason Tomberlin
• Traalan Inc
• Tri-County Adult Day Services, Inc
• Natacha Deshawn Turnipseed, FNP

• Mental Illness Community Based Residential Treatment Facility in Cheraw, SC
• Providers in Cheraw, SC by specialty
• Mental Illness Community Based Residential Treatment Facility in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2018; 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.