Beacon of Strength Supportive Services, LLC

Primary specialty

Home Health AideTaxonomy code 374U00000X

Legal business name

BEACON OF STRENGTH SUPPORTIVE SERVICES, LLC

Doing business as

Beacon of Strength Supportive Services, LLC

Practice address

205 W 2ND St
Duluth, MN 55802-1928

Phone

(218) 461-2118

NPI assigned

Aug 29, 2022

Last updated

Aug 29, 2022By 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

Donna R Olsen, LGSWNPI 1902546047

Title

Director

Phone

(218) 461-2118

Specialties & licenses 1

Addresses

Other names 1

• Beacon of Strength Supportive Services, LLC Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Donna Rose Olsen, LICSW

  • Clinical Social Worker
  • Duluth, MN
  • NPI 1902546047
  Authorized official Same address or phone

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661731200000",
    "number": "1598485732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 W 2ND ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558021928",
            "telephone_number": "218-461-2118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 W 2ND ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558021928",
            "telephone_number": "218-461-2118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON OF STRENGTH SUPPORTIVE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-29",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A",
        "authorized_official_last_name": "OLSEN",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "218-461-2118",
        "authorized_official_credential": "LGSW"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beacon of Strength Supportive Services, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bayshore Duluth Management, LLC
• Bayshore Duluth Management, LLC
• Rebekah Beach, MD
• Beacon of Strength Mental Health Services, LLC
• Beacon of Strength Supportive Services
• Nicholas Beattie, PHARMD
• Chena Margaret-Filizetti Beauduy, D.O.
• Sydney Alexis Beaulieu, PA-C
• Gary Wayne Beaver, DO
• Maria Katarzyna Beaver, MD

• Home Health Aide in Duluth, MN
• Providers in Duluth, MN by specialty
• Home Health Aide in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; 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.