Organization Active NPI

Beacon on the Hill

  • In Home Supportive Care Agency
  • Riverside, CA
National Provider Identifier
1588446785
Registry record updated Oct 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
BEACON ON THE HILL
Practice address
4351 Latham St Ste 208a
Riverside, CA 92501-1749
Phone
(877) 547-7694
NPI assigned
Oct 20, 2023
Last updated
Oct 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2023

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

Authorized official

Name
Len Cooper, PHD
Title
Coo
Phone
(909) 261-2686

Specialties & licenses 1

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

Addresses

Primary practice location

4351 Latham St Ste 208a
Riverside, CA 92501-1749

Mailing address

3085 N Ashford Ave
Rialto, CA 92377-3872
Phone (909) 261-2686

National Provider Directory

National Provider Directory

Locations

4351 Latham St
Ste 208A
Riverside, CA 92501
Phone (877) 547-7694

NPI Registry JSON

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

{
    "created_epoch": "1697760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697760000000",
    "number": "1588446785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3085 N ASHFORD AVE",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923773872",
            "telephone_number": "909-261-2686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4351 LATHAM ST STE 208A",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925011749",
            "telephone_number": "877-547-7694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON ON THE HILL",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-20",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-20",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "LEN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "909-261-2686",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.