Beacon Specialized Living New Jersey, Inc.
Organization Active NPI Intellectual and/or Developmental Disabilities Residential Treatment Facility · Washington, NJ
NPI 1962296905 · NPPES record last updated Apr 8, 2025
Key facts
- NPI
- 1962296905
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X
- Legal business name
- BEACON SPECIALIZED LIVING NEW JERSEY, INC.
- Practice address
- 97 McDonald St
Washington, NJ 07882-1258 - Phone
- (609) 987-5003
- NPI assigned
- Apr 7, 2025
- Organization subpart
- No
Authorized official
- Name
- Darren Hodgdon
- Title
- Ceo
- Phone
- (269) 427-8400
Corporate family (same tax ID) 14
National Provider Directory
- Tax ID family
- Beacon Specialized Living New Jersey Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | Yes |
Addresses
Primary practice location
97 McDonald St
Washington, NJ 07882-1258
Mailing address
13 Roszel Rd Ste B110
Princeton, NJ 08540-6211
Phone (609) 987-5003
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0943631 | Medicaid | NJ |
Other providers in Washington, NJ
- Lisa Arrigoni
- Helen A Asumadu
- Renee Bagley
- Mariah Beach
- Beacon Specialized Living New Jersey, Inc.
- Kendall Marie Beerer
- Doreen M Benatti
- Diane L Berger
- Beton-Cire Mental Care
- Better Change Counseling Service.
All providers in Washington, NJ · Intellectual and/or Developmental Disabilities Residential Treatment Facility in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 8, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.