BEACON HOSPICE, LLC (NPI# 1245444280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245444280 |
| Entity Type | Organization |
| Organization Name | BEACON HOSPICE, LLC |
| Other Organization Name | BEACON HOSPICE, AN AMEDISYS COMPANY |
| Practice Address |
289 State St Suite B Bangor ME 04401-5528 |
| Mailing Address |
3854 American Way Suite A Baton Rouge LA 70816-4013 |
| Practice Telephone | 2079422920 |
| Practice Fax Number | 2079423026 |
| Mailing Telephone | 2252922031 |
| Mailing Fax Number | 2252959678 |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2016-08-02 |
| Authorized Official Name | MR. PAUL B KUSSEROW (PRESIDENT) |
| Authorized Official Telephone | 2252922031 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251G00000X | Hospice Care, Community Based | 38118 | ME | Agencies |
| N | 251G00000X | Hospice Care, Community Based | 36752 | ME | Agencies |
| Y | 251G00000X | Hospice Care, Community Based | 38375 | ME | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 431853304 | 05 |
| Other Name | Type Code |
|---|---|
| Beacon Hospice, an Amedisys Company | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063717619 | Beacon Hospice, LLC | Hospice Care, Community Based | 160 Speen St Ste 202, Framingham, MA 01701-2003 | 2011-01-12 |
| 1508012204 | Beacon Hospice, LLC | Hospice Care, Community Based | 815 Worcester St, Springfield, MA 01151-1001 | 2008-08-13 |
| 1386839520 | Beacon Hospice, LLC | Hospice Care, Community Based | 36 Williams St, Leominster, MA 01453-3276 | 2007-09-11 |
| 1699969535 | Beacon Hospice, LLC | Hospice Care, Community Based | 391 West St, Keene, NH 03431-2409 | 2007-09-04 |
| 1053519272 | Beacon Hospice, LLC | Hospice Care, Community Based | 70 Commercial St, 4th Floor, Concord, NH 03301-5094 | 2007-07-10 |
| 1043335011 | Beacon Hospice, LLC | Hospice Care, Community Based | 200 Nickerson Rd Ste 110, Marlborough, MA 01752-4641 | 2007-03-20 |
| 1174671606 | Beacon Hospice, LLC | Hospice Care, Community Based | 501 Wando Park Blvd., Suite 100, Mt. Pleasant, SC 29464 | 2007-01-08 |
| 1437236551 | Beacon Hospice, LLC | Hospice Care, Community Based | 40 Atlantic Pl Ste 40, South Portland, ME 04106-2316 | 2006-11-01 |
| 1083798938 | Beacon Hospice, LLC | Hospice Care, Community Based | 245 Center St, Suite 10a, Auburn, ME 04210-6169 | 2006-10-25 |
| 1558445569 | Beacon Hospice, LLC | Hospice Care, Community Based | 1 Catamore Blvd, East Providence, RI 02914-1228 | 2006-10-25 |
| Street Address |
289 STATE ST SUITE B |
| City | BANGOR |
| State | ME |
| Zip Code | 04401-5528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184222523 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 110 Longview Dr, Bangor, ME 04401 | 2020-10-16 |
| 1033737937 | Daniel John Phulman | Counselor | 202 Exchange Street, Bangor, ME 04401 | 2020-07-08 |
| 1770104358 | Elizabeth Sarah Caruson | Physician Assistant | 417 State Street Webber Medical Building, East St, Ste. 121, Bangor, ME 04401 | 2020-05-05 |
| 1053961300 | Erika Dean | Occupational Therapist | 84 Sylvan Rd., Bangor, ME 04401 | 2019-09-18 |
| 1942853635 | Wildworks Therapy, Pllc | Occupational Therapist | 123 Mt Hope Ave, Bangor, ME 04401 | 2019-07-22 |
| 1255999173 | Jessica Arbisi | Physician Assistant | 1 Northeast Drive, Bangor, ME 04401 | 2019-06-05 |
| 1699232041 | Ehab Khamis Elhefnawi | Anesthesiology | Emmc Anesthesia Professional Service, 489 State Street, Bangor, ME 04401 | 2019-02-21 |
| 1477028884 | Zvorufura Makura | Otolaryngology | 885 Union Street, Ste 145, Bangor, ME 04401 | 2018-10-11 |
| 1255826541 | Lindsey M Fields | Optometrist | 955 Broadway Eye Center Northeast Dba Northeast Eyecare, Bangor, ME 04401 | 2018-06-28 |
| 1992211338 | Debra J Mcintyre | Counselor | 157 Park Street, #5, Bangor, ME 04401 | 2017-12-21 |
| Find all providers in zip 04401 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477025286 | Hospice of Maine, LLC | Hospice Care, Community Based | 824 Stillwater Ave Ste B, Bangor, ME 04401-3614 | 2018-12-19 |
| 1972503365 | Alternative Health Services of St. Joseph Inc. | Hospice Care, Community Based | 900 Broadway Bldg 4, Bangor, ME 04401-1900 | 2005-07-28 |
| 1508921842 | Community Health and Counseling Services | Hospice Care, Community Based | 42 Cedar St, Bangor, ME 04402-0425 | 2006-12-27 |
| 1871547885 | Eastern Maine Homecare | Hospice Care, Community Based | 885 Union St, Suite 220, Bangor, ME 04401-3083 | 2006-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144573403 | Life Choice Hospice of Maine, LLC | Hospice Care, Community Based | 163 Us Route 1, Scarborough, ME 04074-9060 | 2012-10-23 |
| 1871827055 | Eastern Maine Homecare | Hospice Care, Community Based | 24 Lawrence Ave, Fairfield, ME 04937-1221 | 2009-09-22 |
| 1578683280 | Vna Home Health & Hospice | Hospice Care, Community Based | 50 Foden Rd Ste 1, South Portland, ME 04106-1718 | 2007-03-29 |
| 1437236551 | Beacon Hospice, LLC | Hospice Care, Community Based | 40 Atlantic Pl Ste 40, South Portland, ME 04106-2316 | 2006-11-01 |
| 1083798938 | Beacon Hospice, LLC | Hospice Care, Community Based | 245 Center St, Suite 10a, Auburn, ME 04210-6169 | 2006-10-25 |
| 1336223031 | Beacon Hospice, LLC | Hospice Care, Community Based | 42 Brickyard Ct, York, ME 03909-1601 | 2006-10-25 |
| 1376514224 | Mainehealth Care At Home | Hospice Care, Community Based | 170 Pleasant St., Rockland, ME 04841-2119 | 2006-01-30 |
| 1972594232 | Hospice of Southern Maine | Hospice Care, Community Based | 390 Us Route 1, Scarborough, ME 04074-9772 | 2005-11-04 |
| 1720601693 | New Century Hospice Delaware LLC | Hospice Care, Community Based | 53 Baxter Blvd, Portland, ME 04101-1827 | 2020-05-26 |
| 1407339542 | Compassionate Care Hospice of Maine, LLC | Hospice Care, Community Based | 136 Us Route 1, Ste 114,116,117,117b, Scarborough, ME 04074 | 2018-09-14 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.