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NPI Code Detail

MEDICARE: BEACON HOSPICE, LLC

MEDICARE: BEACON HOSPICE, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251G00000XCommunity Based Hospice Care Agency38374ME

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1083798938
Entity Type Code : Organization
Provider Name (Legal Business Name) : BEACON HOSPICE, LLC
Provider Business Mailing Address
First Line : 3854 AMERICAN WAY STE A
Second Line :
City : BATON ROUGE
State : LA
Zip : 70816-4897
Country : US
Telephone Number : 225-292-2031
Fax Number : 225-295-9678
Provider Business Practice Location Address
First Line : 245 CENTER ST
Second Line : SUITE 10A
City : AUBURN
State : ME
Zip : 04210-6169
Country : US
Telephone Number : 207-784-4242
Fax Number : 207-784-4233
Authorized Official
Title or Position : PRESIDENT & CEO
Name : JOSHUA L. PROFFITT
Credential :
Telephone Number : 617-639-4092
Provider Enumeration Date : 10/25/2006
Last Update Date : 05/08/2026

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Directions to “BEACON HOSPICE, LLC ” Practice Location

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