BEACON GROUP SW, INC. (NPI# 1053894162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053894162 |
| Entity Type | Organization |
| Organization Name | BEACON GROUP SW, INC. |
| Practice Address |
1020 S 5th St Phoenix AZ 85004-2716 |
| Mailing Address |
308 W Glenn St Tucson AZ 85705-4433 |
| Practice Telephone | 5206224874 |
| Mailing Telephone | 5206224874 |
| Enumeration Date | 2018-09-13 |
| Last Update Date | 2018-09-13 |
| Authorized Official Name | NATALYA BROWN (CFO) |
| Authorized Official Telephone | 5206224874 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TR0400X |
Psychologist Specialization: Rehabilitation |
Behavioral Health & Social Service Providers | ||
| Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124173695 | Beacon Group Sw, Inc. | Day Training, Developmentally Disabled Services | 2222 N 24th St, Phoenix, AZ 85008-2716 | 2007-01-24 |
| Street Address |
1020 S 5TH ST |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85004-2716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396360749 | Ulivvo Inc. | Nurse Practitioner | 141 E Palm Lane, Suite 206, Phoenix, AZ 85004 | 2020-06-11 |
| 1508325929 | Ican America | Clinic/Center | Cityscape Tower 1 E Washington St., Suite 440, Phoenix, AZ 85004 | 2019-03-15 |
| 1770064107 | Edward Jude Stein | Pharmacist | Two Renaissance Square, 40 N Central Ave, Suite 780, Ihs Clinical Support Center, Phoenix, AZ 85004 | 2018-08-23 |
| 1740775303 | Alexander L. Shaw | Dentist | 201 N Central Ave. #1490, Phoenix, AZ 85004 | 2018-06-26 |
| 1497267868 | Michael Dimoff | Registered Nurse | 1850 N. Central Ave, Ste 1600, Phoenix, AZ 85004 | 2017-10-25 |
| 1093231433 | Ezequiel Bautista | Music Therapist | 2702 N 3rd Street, Suite 1000, Phoenix, AZ 85004 | 2017-08-17 |
| 1841742442 | Stacy Maahs | Nurse Practitioner | 500 N 3rd St Ste 155, Phoenix, AZ 85004 | 2016-10-29 |
| 1538537246 | Jessica Lindsay Karlson | Pharmacist | 2302 N Central Ave Ste 7, Phoenix, AZ 85004 | 2015-09-11 |
| 1689059883 | Yvette's Hope Foundation | Home Health | 40 N. Central Ave. Ste. 1400, Phoenix, AZ 85004 | 2015-07-29 |
| 1881082790 | Patricia Russell | Specialist/Technologist | 60 E. Vernon Ave, Arcadia Therapy Services, Phoenix, AZ 85004 | 2014-12-30 |
| Find all providers in zip 85004 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548878556 | The Opportunity Tree | Day Training, Developmentally Disabled Services | 3146 E Windsor Ave, Phoenix, AZ 85008-1135 | 2020-07-15 |
| 1598381725 | Acacia Care, LLC | Day Training, Developmentally Disabled Services | 8601 N Black Canyon Hwy Ste 200, Phoenix, AZ 85021-4156 | 2020-06-23 |
| 1649810946 | Hearts of Hope LLC | Day Training, Developmentally Disabled Services | 4352 E Angela Dr, Phoenix, AZ 85032-2289 | 2020-01-14 |
| 1619518263 | Ermias Homecare LLC | Day Training, Developmentally Disabled Services | 426 W Beautiful Ln, Phoenix, AZ 85041-8013 | 2019-10-04 |
| 1083164149 | K & C Ventures LLC | Day Training, Developmentally Disabled Services | 4013 E Broadway Road, Phoenix, AZ 85040 | 2016-10-12 |
| 1487006698 | Heartbeat Speech Therapy L.L.C. | Day Training, Developmentally Disabled Services | 16454 S 29th St, Phoenix, AZ 85048-8559 | 2016-07-12 |
| 1154700433 | Quincea Inc | Day Training, Developmentally Disabled Services | 5025 S Central Ave, Phoenix, AZ 85040-2154 | 2015-05-20 |
| 1568856359 | Rescare Arizona, Inc. | Day Training, Developmentally Disabled Services | 960 W Behrend Dr Ste 3, Phoenix, AZ 85027-4406 | 2015-03-19 |
| 1568809721 | Advocates for The Mentally Ill and Disadvantage | Day Training, Developmentally Disabled Services | 8545 N Black Canyon Hwy, Phoenix, AZ 85021-4119 | 2013-05-29 |
| 1861730053 | S.e.e.k. Arizona | Day Training, Developmentally Disabled Services | 1848 N 52nd St, Phoenix, AZ 85008-3402 | 2013-01-22 |
| Find all providers in PHOENIX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.