MEDICARE: BEACON RESPIRATORY SERVICES, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332BX2000X	Oxygen Equipment & Supplies (DME)

General Provider Information

NPI Number	:	1295880904
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEACON RESPIRATORY SERVICES, INC.

Provider Business Mailing Address
First Line	:	26777 CENTRAL PARK BLVD
Second Line	:	SUITE 200
City	:	SOUTHFIELD
State	:	MI
Zip	:	48076-4162
Country	:	US
Telephone Number	:	248-352-7530
Fax Number	:	248-352-5189

Provider Business Practice Location Address
First Line	:	6550 SAINT AUGUSTINE RD
Second Line	:	SUITE 101
City	:	JACKSONVILLE
State	:	FL
Zip	:	32217-2835
Country	:	US
Telephone Number	:	904-332-0656
Fax Number	:	904-332-9404

Authorized Official
Title or Position	:	CONTRACTING
Name	:	ELLYN RILEY
Credential	:
Telephone Number	:	407-206-0040

Provider Enumeration Date	:	01/24/2007
Last Update Date	:	09/19/2007

Similar Medicare Providers

1487090742 — MRS. LEN WILLIAMS APRN
Practice Location Address:

430 STATE ROAD 13 N
JACKSONVILLE, FL
32259-2835

Practice Phone: 866-389-2727
Practice Fax:

1447354311 — HOLIDAY CVS LLC
Practice Location Address:

430 STATE ROAD 13
JACKSONVILLE, FL
32259-2835

Practice Phone: 904-287-6369
Practice Fax: 904-287-2963

1205132578 — MULTI-DIMENSIONAL SERVICES & SUPPORTS, INC.
Practice Location Address:

2835 LORIMIER TER
JACKSONVILLE, FL
32207-4146

Practice Phone: 904-398-8235
Practice Fax: 904-398-8235

1588386353 — WILLIAM JOHN SMITH
Practice Location Address:

430 STATE ROAD 13
JACKSONVILLE, FL
32259-2835

Practice Phone: 904-287-6369
Practice Fax: 904-287-2963

1962988972 — KRISTIN LEE BARRETT PMHNP-BC
Practice Location Address:

2520 UNIVERSITY BLVD W
JACKSONVILLE, FL
32217-2004

Practice Phone: 904-914-8947
Practice Fax: 904-895-4729

1003774555 — PATHWAYS II WELLNESS BEHAVIORAL HEALTH SOLUTIONS LLC
Practice Location Address:

6028 CHESTER AVE STE 207
JACKSONVILLE, FL
32217-2285

Practice Phone: 904-944-1269
Practice Fax:

Directions to “BEACON RESPIRATORY SERVICES, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.