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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 Agency77YWMA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1386839520
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 : 36 WILLIAMS ST
Second Line :
City : LEOMINSTER
State : MA
Zip : 01453-3276
Country : US
Telephone Number : 978-466-7890
Fax Number : 978-466-7893
Authorized Official
Title or Position : PRESIDENT AND CEO
Name : JOSHUA L. PROFFITT
Credential :
Telephone Number : 617-639-4092
Provider Enumeration Date : 09/11/2007
Last Update Date : 05/08/2026

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Directions to “BEACON HOSPICE, LLC ” Practice Location

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