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

Beacon Specialized Living Services, Inc

Organization Internal Medicine Physician · NPI 1790835296

Beacon Specialized Living Services, Inc is an Internal Medicine Physician in Bangor, Michigan. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
5
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

555 Railroad St
Bangor, MI 49013-1464
Phone: (269) 427-8400
Fax: (269) 427-6027
Show map & directions

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
Internal Medicine Physician Taxonomy 207R00000X
Home Health Agency Taxonomy 251E00000X
Assisted Living Facility Taxonomy 310400000X
Mental Illness Community Based Residential Treatment Facility Taxonomy 320800000X

Record details

NPI number1790835296
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ken Ratzlaff — President, Ceo · (269) 427-8400
NPI enumeratedJanuary 10, 2007
Last updated in NPPESMarch 31, 2015
Mailing address555 Railroad St, P.O. Box 69, Bangor, MI 49013-1464

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