BEACON SPECIALIZED LIVING SERVICES, INC. – Intellectual and/or Developmental Disabilities Residential Treatment Facility, NPI 1790835296

BEACON SPECIALIZED LIVING SERVICES, INC. is a healthcare provider. based in Bangor, Michigan. specializing in Intellectual and/or Developmental Disabilities Residential Treatment Facility. The NPI Number for BEACON SPECIALIZED LIVING SERVICES, INC. is 1790835296

Main info

Organization
Name
BEACON SPECIALIZED LIVING SERVICES, INC.
NPI
1790835296
Phone
(269) 427-8400
Address
555 RAILROAD ST
Authorized Official
KEN RATZLAFF PRESIDENT, CEO
Enumeration Date
10 January 2007
Last Update Date
31 March 2015
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:19State licenses:0Digital endpointsOther names

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Provider Addresses for BEACON SPECIALIZED LIVING SERVICES, INC.

  • 555, Railroad Street, Bangor, Van Buren County, Michigan, 49013, United States

    P.O. BOX 69

    BANGOR, MI 490131464

    Phone: (269) 427-8400

    Fax: (269) 427-6027

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49013)

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Reviews

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Frequently asked questions

What is BEACON SPECIALIZED LIVING SERVICES, INC.'s NPI number?
BEACON SPECIALIZED LIVING SERVICES, INC.'s NPI is 1790835296 — the number used across U.S. healthcare to identify this provider.
Would BEACON SPECIALIZED LIVING SERVICES, INC. appear as active to a payer?
You can treat BEACON SPECIALIZED LIVING SERVICES, INC. as active for directory purposes; confirm clinical privileges separately.
How would a patient describe BEACON SPECIALIZED LIVING SERVICES, INC.'s focus?
For BEACON SPECIALIZED LIVING SERVICES, INC., the primary taxonomy reads as Intellectual and/or Developmental Disabilities Residential Treatment Facility. Clinical services aligned with this taxonomy classification.
What locale is associated with BEACON SPECIALIZED LIVING SERVICES, INC.?
Directory geography for BEACON SPECIALIZED LIVING SERVICES, INC. centers on Bangor, Michigan.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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