Organization Active NPI

Beacon Integrated Healthcare Services, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Catonsville, MD
National Provider Identifier
1841987104
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
BEACON INTEGRATED HEALTHCARE SERVICES, INC.
Practice address
6400 Baltimore National Pike Ste 250B
Catonsville, MD 21228-3947
Phone
(443) 860-9257
NPI assigned
Apr 18, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

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

Authorized official

Name
Adeyinka WindapoNPI 1679283782
Title
Ceo
Phone
(443) 860-9257

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary
Developmental Disabilities Clinic/Center 261QD1600X

Addresses

Primary practice location

6400 Baltimore National Pike Ste 250B
Catonsville, MD 21228-3947

Mailing address

6400 Baltimore National Pike Ste 250B
Catonsville, MD 21228-3947
Phone (443) 860-9257

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681776000000",
    "number": "1841987104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 BALTIMORE NATIONAL PIKE STE 250B",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212283947",
            "telephone_number": "443-860-9257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 BALTIMORE NATIONAL PIKE STE 250B",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212283947",
            "telephone_number": "443-860-9257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON INTEGRATED HEALTHCARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-18",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A",
        "authorized_official_last_name": "WINDAPO",
        "authorized_official_first_name": "ADEYINKA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-860-9257"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Catonsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.