Beacon Specialized Living Missouri Inc

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

BEACON SPECIALIZED LIVING MISSOURI INC

Practice address

19401 E 40 Hwy Ste 100
Independence, MO 64055-5400

Phone

(417) 689-3302

NPI assigned

Feb 29, 2024

Last updated

Nov 20, 2024By 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

Mr. Francis Joe Trebbe III, LCSWNPI 1316245988

Title

Vice President of Operations

Phone

(417) 689-3302

Specialties & licenses 1

Addresses

Locations

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.

• Francis Joe Trebbe III, MSW LCSW

  • Clinical Social Worker
  • Kansas City, MO
  • NPI 1316245988
  NPD Authorized official

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

{
    "created_epoch": "1709164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1770340382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19401 E 40 HWY STE 100",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640555400",
            "telephone_number": "417-689-3302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19401 E 40 HWY STE 100",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640555400",
            "telephone_number": "417-689-3302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON SPECIALIZED LIVING MISSOURI INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-29",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "TREBBE",
        "authorized_official_first_name": "FRANCIS",
        "authorized_official_middle_name": "JOE",
        "authorized_official_title_or_position": "VICE PRESIDENT OF OPERATIONS",
        "authorized_official_telephone_number": "417-689-3302",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydney Anne Bauer, DDS
• Lynne Baumhoff, LCSW
• Leslie J Bay, MS, PLPC
• Carriah Baylark
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• Shyann Beagley
• Mindi Suzanne Thompson Beahm, MD
• Paige L Bearinger, MS, PLPC
• Brent W Beasley, MD
• Michael James Beauregard, D.D.S.

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Independence, MO
• Providers in Independence, MO by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Missouri

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