NPIMap

Organization Active NPI

Beacon Specialized Living Ohio Inc

  • In Home Supportive Care Agency
  • Columbus, OH
National Provider Identifier
1508638545
Registry record updated Oct 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 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
Last updated
Oct 24, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
KEYSTONE COMMUNITY RESOURCES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 24, 2023

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

Authorized official

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

Specialties & licenses 1

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

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 2

  • Beacon Ohio Other name
  • Beacon Specialized Living Other name

National Provider Directory

National Provider Directory
Tax ID family
Beacon Specialized Living5 organizations share this tax ID, including this one
Part of
Keystone Community Resources Inc

Other organizations with this tax ID 4

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

Locations

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

NPI Registry JSON

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

{
    "created_epoch": "1698105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698105600000",
    "number": "1508638545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "967 WORTHINGTON WOODS LOOP RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "430855743",
            "telephone_number": "614-330-3073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "967 WORTHINGTON WOODS LOOP RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "430855743",
            "telephone_number": "614-330-3073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON SPECIALIZED LIVING OHIO INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KEYSTONE COMMUNITY RESOURCES, INC.",
        "enumeration_date": "2023-10-24",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A",
        "authorized_official_last_name": "PELL",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VP OF BIZ DEV & OPERATIONS",
        "authorized_official_telephone_number": "614-330-3073"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beacon Ohio",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Beacon Specialized Living",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; 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.