BEACON HOSPICE LLC NPI 1558445569

NPI Information

NPI: 1558445569
Provider Name: BEACON HOSPICE, LLC

Doing Business As: BEACON HOSPICE, AN AMEDISYS COMPANY

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

Address:
1 CATAMORE BLVD
EAST PROVIDENCE, RI
ZIP 02914
Phone: (401) 438-0008
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BEACON HOSPICE, LLC is a hospice care community based in East Providence, RI. BEACON HOSPICE, LLC NPI is 1558445569. 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:

1 CATAMORE BLVD
EAST PROVIDENCE, RI
ZIP 02914-228
Phone: (401) 438-0008
Fax: (401) 438-2252

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 41D1011564 - 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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251G00000X	Hospice Care, Community Based		HSP01619	RHODE ISLAND	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	411510	MEDICARE OSCAR/CERTIFICATION	RHODE ISLAND
2	BH55689	MEDICAID	RHODE ISLAND

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

NPI Synchronization or Removal

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