Beach Club Residential Living Inc
LBN: Beach Club Residential Living Inc
Beach Club Residential Living Inc is an health care organization with primary practice located at 5254 Lake Rd E Suite #3, Geneva OH 44041-9490. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty.
Beach Club Residential Living Inc can be contacted via phone (440) 466-0988, or through Busch, Luann Kay via phone (440) 466-0988.
Contact Information
Primary practice address
5254 Lake Rd E Suite #3
Geneva OH 44041-9490
Phone: (440) 466-0988
Fax: (440) 466-0315
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320900000X | 2056975 | Ohio |
Profile Details
| NPI number | 1740404870 |
|---|---|
| LBN Legal business name | Beach Club Residential Living Inc |
| DBA Doing business as | |
| Authorized official | Busch, Luann Kay |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 12th, 2007 |
| Last updated | Aug 22nd, 2020 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740404870 | NPPES |
| Ohio | Other | 0400355 | CONTRACT NUMBER |
| Ohio | MEDICAID | 2056975 | CONTRACT NUMBER |
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