OrganizationActive
Beacon Specialized Living Ohio Inc
NPI 1265131064 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Fairborn, OH
Provider details
- NPI number
- 1265131064
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Parent organization
- Keystone Community Resources
- Organization subpart
- Yes
- Authorized official
- Janet Pell, Vp of Ops and Business Development(614) 330-3073
Specialties & taxonomies
Residential Treatment Facilities
Practice location
1460 Graceland Dr
Fairborn, OH 45324-4374
Phone: (937) 874-5001
Approximate (ZIP-level) locationGet directions
Mailing address
967 Worthington Woods Loop Rd
Worthington, OH 43085-5743
Other names (DBA / former)
- Other name
- Beacon Services Holdings, Inc.
- Other name
- Beacon Specialized Living
Registry dates
- Enumerated
- 2023-03-01
- Last updated
- 2023-03-01
- Certified
- 2023-03-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.