Beacon Harbor Homes Inc.

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

BEACON HARBOR HOMES INC.

Practice address

3124 Kochville Rd
Suite 110
Saginaw, MI 48604-9303

Phone

(989) 792-1888

Fax

(989) 792-1851

NPI assigned

Nov 17, 2011

Organization subpart

No

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

Authorized official

Name

Miss Bridget A Wetherell

Title

Accountant

Phone

(989) 792-1888

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1321488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522195200000",
    "number": "1922375138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3689 FASHION SQUARE BLVD.",
            "address_2": "STE 1",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "48603",
            "telephone_number": "989-792-1888",
            "fax_number": "989-792-1851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3124 KOCHVILLE RD",
            "address_2": "SUITE 110",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486049303",
            "telephone_number": "989-792-1888",
            "fax_number": "989-792-1851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON HARBOR HOMES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-17",
        "last_updated": "2018-03-28",
        "status": "A",
        "authorized_official_last_name": "WETHERELL",
        "authorized_official_first_name": "BRIDGET",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ACCOUNTANT",
        "authorized_official_telephone_number": "989-792-1888",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bayside Lodge
• Andrew Bazakis, M.D.
• Bilal T Bazzi, MD
• Connor Beach
• Mary Beach, NP
• Steven S Beall, MD
• Edward Beamon
• Jnae A Bean
• Dawn Beard
• Barbara Rae Beardslee

• Mental Illness Community Based Residential Treatment Facility in Saginaw, MI
• Providers in Saginaw, MI by specialty
• Mental Illness Community Based Residential Treatment Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2018; 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.