Provider Demographics
NPI:1164994703
Name:CONTINUING HEALTHCARE BEACON HOUSE, LLC
Entity Type:Organization
Organization Name:CONTINUING HEALTHCARE BEACON HOUSE, LLC
Other - Org Name:CONTINUING HEALTHCARE AT BEACON HOUSE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:DIPASQUA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-652-2053
Mailing Address - Street 1:7261 ENGLE RD STE 200
Mailing Address - Street 2:
Mailing Address - City:MIDDLEBURG HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44130-3479
Mailing Address - Country:US
Mailing Address - Phone:216-772-1105
Mailing Address - Fax:440-243-6370
Practice Address - Street 1:100 RESERVOIR RD
Practice Address - Street 2:
Practice Address - City:SAINT CLAIRSVILLE
Practice Address - State:OH
Practice Address - Zip Code:43950-1064
Practice Address - Country:US
Practice Address - Phone:740-695-3281
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-20
Last Update Date:2022-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility