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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 Agency0024CT

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 : 1134203284
Entity Type Code : Organization
Provider Name (Legal Business Name) : BEACON HOSPICE, LLC
Provider Business Mailing Address
First Line : 3854 AMERICAN WAY
Second Line : SUITE A
City : BATON ROUGE
State : LA
Zip : 70816-4013
Country : US
Telephone Number : 225-292-2031
Fax Number : 225-295-9678
Provider Business Practice Location Address
First Line : 77 HARTLAND ST STE 230
Second Line :
City : EAST HARTFORD
State : CT
Zip : 06108-6201
Country : US
Telephone Number : 860-282-0527
Fax Number : 860-282-4692
Authorized Official
Title or Position : CFO
Name : TRAVIS MIGLICCO
Credential :
Telephone Number : 225-299-3803
Provider Enumeration Date : 10/25/2006
Last Update Date : 02/14/2025

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Directions to “BEACON HOSPICE, LLC ” Practice Location

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