Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

Beacon Specialized Living Ohio Inc

Intellectual and/or Developmental Disabilities Residential Treatment Facility in Fairborn, OH · enumerated 2023 · authorized official Janet Pell, Vp of Ops and Business Development.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1265131064

Verified

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Registry record

Entity type Organization (Type 2)

Legal business name Beacon Specialized Living Ohio Inc

Parent organization Keystone Community Resources

Practice address 1460 Graceland Dr, Fairborn, OH, 45324

Phone (937) 874-5001

Enumeration date Mar 1, 2023

Last updated in NPPES Mar 1, 2023

Taxonomy & classification

320600000X Intellectual and/or Developmental Disabilities Residential Treatment Facility Residential Treatment Facilities Primary

Authorized official

Name Janet Pell

Title Vp of Ops and Business Development

Phone (614) 330-3073

Other identifiers

Identifier	Type	State	Issuer
2916025	Other	OH	OHIO DEPARTMENT OF DEVELOPMENTAL DISABILITIES

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

What type of organization is Beacon Specialized Living Ohio Inc?

Beacon Specialized Living Ohio Inc is registered in NPPES as a Intellectual and/or Developmental Disabilities Residential Treatment Facility (its primary provider taxonomy).

Providers at this address

Browse all →

I Am Boundless, Inc Intellectual Disabilities Intermediate Care Facility · Fairborn, OH NPI 1104700822 Letese Burg Case Manager/Care Coordinator · Fairborn, OH NPI 1053282442 Mykalal Thompson Case Manager/Care Coordinator · Fairborn, OH NPI 1811868201 Joyce Burroughs Case Manager/Care Coordinator · Fairborn, OH NPI 1063383461 Travishay Kennedy Case Manager/Care Coordinator · Fairborn, OH NPI 1780555029 Nakesha Gainey Case Manager/Care Coordinator · Fairborn, OH NPI 1801768189 Christoper Herise Case Manager/Care Coordinator · Fairborn, OH NPI 1598637712 Julisa Vicroy Case Manager/Care Coordinator · Fairborn, OH NPI 1194697326

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-03-01.