Provider Demographics
NPI:1699782078
Name:BEEGHLY OAKS
Entity type:Organization
Organization Name:BEEGHLY OAKS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO FORUM HEALTH SERVICES
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:H
Authorized Official - Last Name:COX
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:330-884-1066
Mailing Address - Street 1:6505 MARKET ST
Mailing Address - Street 2:BUILDING D
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44512-3457
Mailing Address - Country:US
Mailing Address - Phone:330-884-2300
Mailing Address - Fax:330-726-0182
Practice Address - Street 1:6505 MARKET ST
Practice Address - Street 2:BUILDING D
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44512-3457
Practice Address - Country:US
Practice Address - Phone:330-884-2300
Practice Address - Fax:330-726-0182
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4117310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility