Beacon Specialized Living North Carolina

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

BEACON SPECIALIZED LIVING NORTH CAROLINA

Practice address

1144 Executive Cir Ste 220
Cary, NC 27511-4573

Phone

(717) 676-1880

NPI assigned

May 17, 2023

Organization subpart

No

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

Authorized official

Name

Rick Marsilio

Title

RVP of BD and Growth

Phone

(717) 676-1880

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1684281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684281600000",
    "number": "1932890365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1144 EXECUTIVE CIR STE 220",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275114573",
            "telephone_number": "717-676-1880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1144 EXECUTIVE CIR STE 220",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275114573",
            "telephone_number": "717-676-1880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON SPECIALIZED LIVING NORTH CAROLINA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-17",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A",
        "authorized_official_last_name": "MARSILIO",
        "authorized_official_first_name": "RICK",
        "authorized_official_title_or_position": "RVP OF BD AND GROWTH",
        "authorized_official_telephone_number": "717-676-1880"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bay Imaging Consultants Medical Group Inc
• James M Bazluki, LAT, ATC
• Bddy NC LLC
• Sarah Elizabeth Beachum
• Beacon Psychotherapy PLLC
• Samuel Bret Beaman, PT, DPT
• Erin Hunter Beasley
• Grace Elizabeth Emily Beasley
• John M Beasley, BA
• Megan Beasley, M.S. CCC-SLP

• Community/Behavioral Health Agency in Cary, NC
• Providers in Cary, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.