The Beacon at Lake Crystal

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

THE BEACON AT LAKE CRYSTAL

Practice address

511 W Blue Earth St
Lake Crystal, MN 56055-9401

Phone

(507) 726-6537

NPI assigned

Sep 11, 2016

Last updated

Sep 11, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joshua Legum

Title

Ceo

Phone

(507) 625-8741

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1473552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473552000000",
    "number": "1568919280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "638 SOUTHBEND AVE",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560012168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 W BLUE EARTH ST",
            "city": "LAKE CRYSTAL",
            "state": "MN",
            "postal_code": "560559401",
            "telephone_number": "507-726-6537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BEACON AT LAKE CRYSTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-11",
        "last_updated": "2016-09-11",
        "status": "A",
        "authorized_official_last_name": "LEGUM",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "507-625-8741"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darian June Nagel, LICSW
• Kirk M Odden, MD
• River Valley Homes, Inc.
• Sonja Schoonenberg, RDN
• Judith Kaye Swezey, O.D.
• Rebecca Ann Thorston, DNP, APRN, CNP
• Thro Company

• Assisted Living Facility in Lake Crystal, MN
• Providers in Lake Crystal, MN by specialty
• Assisted Living Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.