BEACON HOSPICE, LLC


Address: 40 Atlantic Pl Ste 40, South Portland, ME 04106-2316
Phone: 2077720929

BEACON HOSPICE, LLC (NPI# 1437236551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437236551
Entity Type Organization
Organization Name BEACON HOSPICE, LLC
Other Organization Name BEACON HOSPICE, AN AMEDISYS COMPANY
Practice Address 40 Atlantic Pl Ste 40
South Portland
ME 04106-2316
Mailing Address 3854 American Way
Suite A
Baton Rouge
LA 70816-4013
Practice Telephone 2077720929
Practice Fax Number 2077727779
Mailing Telephone 2252922031
Mailing Fax Number 2252959678
Enumeration Date 2006-11-01
Last Update Date 2017-10-06
Authorized Official Name MR. PAUL B KUSSEROW (PRESIDENT)
Authorized Official Telephone 2252922031
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 251G00000X Hospice Care, Community Based 36706 ME Agencies
Y 251G00000X Hospice Care, Community Based 38312 ME Agencies

Other Provider Identifier

State Issuer Identifier Type Code
ME 431853300 05

Other Provider/Organization Names

Other Name Type Code
Beacon Hospice, an Amedisys Company Doing Business As Name - Organization

Other Provider IDs and Locations

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
1245444280 Beacon Hospice, LLC Hospice Care, Community Based 289 State St, Suite B, Bangor, ME 04401-5528 2007-05-09
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
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

Office Location

Street Address 40 ATLANTIC PL STE 40
City SOUTH PORTLAND
State ME
Zip Code 04106-2316

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912513748 Rayna Louise Sage Behavior Technician 50 Donald Beaver Drrive, Ste B, Portland, ME 04106 2020-09-17
1972127330 Scott M Davis Md LLC Internal Medicine 89 Cannon Road, South Portland, ME 04106 2020-06-02
1568013936 Clara Cassidy Behavior Technician 50 Donald Bean Dr, Ste B, South Portland, ME 04106 2019-09-26
1336614346 Kari Whitney Nurse Practitioner Vna Home Health Hospice, 50 Foden Road, Suite 1, South Portland, ME 04106 2018-10-05
1588152193 Kristen F. Pierce Counselor 100 Waterman Drive, Suite 201, South Portland, ME 04106 2018-04-30
1649779224 Jennifer Rene Johnson Social Worker 135 Westbrook St, South Portland, ME 04106 2018-02-08
1154847721 Integral Nutrition, LLC Dietitian, Registered 59 Baltimore Avenue, South Portland, ME 04106 2017-08-16
1730619610 John Preston Powell Psychiatry & Neurology 68 B Street Apt 4, South Portland, ME 04106 2017-06-14
1649706268 Gisselle Mani Student in an Organized Health Care Education/Training Program 30 Lydia Ln Apt 2115, South Portland, ME 04106 2017-05-02
1245786987 Jonathan Frank Olmes Optometrist 335 Maine Mall Rd., South Portland, ME 04106 2016-09-01
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Taxonomy Information

Taxonomy Code 251G00000X
Grouping Agencies
Classification Hospice Care, Community Based

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578683280 Vna Home Health & Hospice Hospice Care, Community Based 50 Foden Rd Ste 1, South Portland, ME 04106-1718 2007-03-29
1962542092 Allegiance Hospice Care of Maine Hospice Care, Community Based 100 Foden Road West, Suite 200, South Portland, ME 04106-2323 2007-02-07

Providers in the same taxonomy and state

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
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
1245444280 Beacon Hospice, LLC Hospice Care, Community Based 289 State St, Suite B, Bangor, ME 04401-5528 2007-05-09
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
1972503365 Alternative Health Services of St. Joseph Inc. Hospice Care, Community Based 900 Broadway Bldg 4, Bangor, ME 04401-1900 2005-07-28
1720601693 New Century Hospice Delaware LLC Hospice Care, Community Based 53 Baxter Blvd, Portland, ME 04101-1827 2020-05-26
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Competitor

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City SOUTH PORTLAND
Zip Code 04106

Improve Information

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Dataset Information

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.

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