OrganizationActive
Beacon Specialized Living New Jersey, Inc.
NPI 1013615269 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Kalamazoo, MI
Provider details
- NPI number
- 1013615269
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Darren Hodgdon, Chief Executive Officer(269) 427-8400
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
890 N 10th St
Kalamazoo, MI 49009-6192
Phone: (269) 427-8400
Approximate (ZIP-level) locationGet directions
Mailing address
890 N 10th St
Kalamazoo, MI 49009-6192
Registry dates
- Enumerated
- 2023-02-17
- Last updated
- 2023-03-02
- Certified
- 2023-03-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.