BEACON HOSPICE LLC NPI 1932283694

NPI Information

BEACON HOSPICE, LLC is a hospice care community based in Charlestown, MA. BEACON HOSPICE, LLC NPI is 1932283694. 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:

529 MAIN ST STE 126
CHARLESTOWN, MA
ZIP 02129-248
Phone: (617) 617-2424
Fax: (617) 241-5784

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 22D0999591 - 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

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Other Identifiers

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