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BEACON HOSPICE LLC NPI 1083798938


NPI Information

NPI: 1083798938
Provider Name: BEACON HOSPICE, LLC

Doing Business As: BEACON HOSPICE, AN AMEDISYS COMPANY

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 20D1017112

Address:
245 CENTER ST
SUITE 10A
AUBURN, ME
ZIP 04210
Phone: (207) 784-4242
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BEACON HOSPICE, LLC is a hospice care community based in Auburn, ME. BEACON HOSPICE, LLC NPI is 1083798938. The provider is registered as an organization entity type.
The provider Is Doing Business As Beacon Hospice, An Amedisys Company.

The provider's business location address is:

245 CENTER ST
SUITE 10A
AUBURN, ME
ZIP 04210-169
Phone: (207) 784-4242
Fax: (207) 784-4233

The provider's authorized official is Paul B Kusserow .
The authorized official title is President and has the following contact phone number (225) 292-2031.

The CLIA number assigned to this NPI record is 20D1017112 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/25/2006 and was last updated on 8/2/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251G00000XHospice Care, Community Based36740MAINENo
2251G00000XHospice Care, Community Based38117MAINENo
3251G00000XHospice Care, Community Based38374MAINEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1431853301MEDICAIDMAINE
2201517MEDICARE OSCAR/CERTIFICATIONMAINE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.