Beacon Outreach Initiatives LLC

Primary specialty

Respite CareTaxonomy code 385H00000X

Legal business name

BEACON OUTREACH INITIATIVES LLC

Practice address

619 E 116TH PL
Los Angeles, CA 90059-2311

Phone

(714) 864-0735

NPI assigned

Oct 4, 2024

Organization subpart

No

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

Authorized official

Name

Kobina S SackeyNPI 1285489138

Title

Operations Manager

Phone

(714) 864-0735

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kobina Sakyi Sackey, RN

  • Psychiatric/Mental Health Registered Nurse
  • Palmdale, CA
  • NPI 1285489138
  NPD Authorized official

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

{
    "created_epoch": "1728000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728000000000",
    "number": "1699594812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 WEST 85TH STREET",
            "city": "LA",
            "state": "CA",
            "postal_code": "90048",
            "telephone_number": "323-472-7784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 E 116TH PL",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900592311",
            "telephone_number": "714-864-0735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON OUTREACH INITIATIVES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-04",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-02",
        "status": "A",
        "authorized_official_last_name": "SACKEY",
        "authorized_official_first_name": "KOBINA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "714-864-0735"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maya Victoria Beach
• Tara Beach, LMFT, ATR-BC
• Christopher Scott Beachey
• Beachside Anesthesia a Professional Corporation
• Beacon Community Medical Center, Inc.
• Peter Yonger Salam Beah, MD
• Omer E Beaird, MD
• Michelle Beakey
• Chantiste Beal, D.M.D.
• Keri Beal

• Respite Care in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Respite Care in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; 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.