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

Beacon Specialized Living Wisconsin Inc

Organization Assisted Living Facility (Mental Illness) · NPI 1861237349

Beacon Specialized Living Wisconsin Inc is an Assisted Living Facility (Mental Illness) in Port Washington, Wisconsin. Registered with an NPI since 2024.

In the registry since
2024
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

703 N Wisconsin St
Port Washington, WI 53074-1647
Phone: (262) 235-4130
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (Mental Illness) (primary) Taxonomy 3104A0625X

Record details

NPI number1861237349
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Longo — Executive Vice President Of Operati · (630) 258-8638
NPI enumeratedJune 27, 2024
Last updated in NPPESJune 27, 2024
Certification dateJune 27, 2024
Mailing address520 N Powers St, Port Washington, WI 53074-1632