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Beacon Specialized Living Ohio Inc

Organization Active NPI In Home Supportive Care Agency · Columbus, OH

NPI 1508638545 · NPPES record last updated Oct 24, 2023

Key facts

NPI
1508638545
Entity type
Organization (NPI type 2)
Primary specialty
In Home Supportive Care Agency 253Z00000X
Legal business name
BEACON SPECIALIZED LIVING OHIO INC
Practice address
967 Worthington Woods Loop Rd
Columbus, OH 43085-5743
Phone
(614) 330-3073
NPI assigned
Oct 24, 2023
Organization subpart
Yes
Parent organization (as reported)
KEYSTONE COMMUNITY RESOURCES, INC.

Authorized official

Name
Janet L Pell
Title
VP of Biz Dev & Operations
Phone
(614) 330-3073

Corporate family (same tax ID) 4

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

National Provider Directory

Tax ID family
Beacon Specialized Living (5 organizations share this tax ID)
Part of
Keystone Community Resources Inc

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Yes

Addresses

Primary practice location

967 Worthington Woods Loop Rd
Columbus, OH 43085-5743

Mailing address

967 Worthington Woods Loop Rd
Columbus, OH 43085-5743
Phone (614) 330-3073

Other names

  • Beacon Ohio Other name
  • Beacon Specialized Living Other name

Other providers in Columbus, OH

All providers in Columbus, OH · In Home Supportive Care Agency in Ohio

Sources for this page

Verify at the official NPI Registry.