Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Beacon Specialized Living Ohio Inc

Organization Intellectual and/or Developmental Disabilities Residential Treatment Facility · NPI 1265131064

Beacon Specialized Living Ohio Inc is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Fairborn, Ohio. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1460 Graceland Dr
Fairborn, OH 45324-4374
Phone: (937) 874-5001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) Taxonomy 320600000X

Record details

NPI number1265131064
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationKeystone Community Resources
Authorized official Janet Pell — Vp Of Ops And Business Development · (614) 330-3073
Other names Beacon Services Holdings, Inc.; Beacon Specialized Living
NPI enumeratedMarch 1, 2023
Last updated in NPPESMarch 1, 2023
Certification dateMarch 1, 2023
Mailing address967 Worthington Woods Loop Rd, Worthington, OH 43085-5743

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