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BEACON HOSPICE LLC NPI 1386839520


NPI Information

NPI: 1386839520
Provider Name: BEACON HOSPICE, LLC

Doing Business As: BEACON HOSPICE, AN AMEDISYS COMPANY

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

CLIA Number: 22D1075347

Address:
36 WILLIAMS ST
LEOMINSTER, MA
ZIP 01453
Phone: (978) 466-7890
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BEACON HOSPICE, LLC is a hospice care community based in Leominster, MA. BEACON HOSPICE, LLC NPI is 1386839520. 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:

36 WILLIAMS ST
LEOMINSTER, MA
ZIP 01453-276
Phone: (978) 466-7890
Fax: (978) 466-7893

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 22D1075347 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/11/2007 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 Based77YWMASSACHUSETTSYes

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
10608637MEDICAIDMASSACHUSETTS
2110024514GMEDICAIDMASSACHUSETTS
3110024514JMEDICAIDMASSACHUSETTS
4221580MEDICARE OSCAR/CERTIFICATIONMASSACHUSETTS

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

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