NPIMap

Organization Active NPI

Biacon Family and Community Support Services

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Garnet Valley, PA
National Provider Identifier
1477031029
Registry record updated Aug 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
BIACON FAMILY AND COMMUNITY SUPPORT SERVICES
Practice address
205 Pennford PL
Garnet Valley, PA 19060-2407
Phone
(610) 485-8959
NPI assigned
Aug 4, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2018

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

Authorized official

Name
Mr. Ibrahim ContehNPI 1356907059
Title
Coo
Phone
(610) 304-5770

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

205 Pennford PL
Garnet Valley, PA 19060-2407

Mailing address

205 Pennford PL
Garnet Valley, PA 19060-2407
Phone (610) 485-8959

Other identifiers 1

IdentifierTypeStateIssuer
103271135-0002OtherPAMPI

Other names 1

  • BIACON Family and Community Support Services Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1533340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533340800000",
    "number": "1477031029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 PENNFORD PL",
            "city": "GARNET VALLEY",
            "state": "PA",
            "postal_code": "190602407",
            "telephone_number": "610-485-8959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 PENNFORD PL",
            "city": "GARNET VALLEY",
            "state": "PA",
            "postal_code": "190602407",
            "telephone_number": "610-485-8959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIACON FAMILY AND COMMUNITY SUPPORT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-04",
        "last_updated": "2018-08-04",
        "status": "A",
        "authorized_official_last_name": "CONTEH",
        "authorized_official_first_name": "IBRAHIM",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "610-304-5770",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MPI",
            "identifier": "103271135-0002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BIACON Family and Community Support Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Garnet Valley, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.