BEACON HOSPICE LLC NPI 1437236551

NPI Information

  • NPI: 1437236551
  • Provider Name: BEACON HOSPICE, LLC
  • Classification: Hospice Care, Community Based - 251G00000X
  • Entity Type: Organization
  • Doing Business As: BEACON HOSPICE, AN AMEDISYS COMPANY
  • CLIA Number: 20D0996673
  • Address: 40 ATLANTIC PL STE 40
    SOUTH PORTLAND, ME
    ZIP 04106
  • Phone: (207) 772-0929

Map and Directions

Get Directions

NPI Details

BEACON HOSPICE, LLC is a hospice care community based in South Portland, ME. BEACON HOSPICE, LLC NPI is 1437236551. The provider is registered as an organization entity type.
The provider Is Doing Business As Beacon Hospice, An Amedisys Company.

The provider's business location address is:

40 ATLANTIC PL STE 40
SOUTH PORTLAND, ME
ZIP 04106-316
Phone: (207) 772-0929
Fax: (207) 772-7779

The provider's authorized official is Paul B Kusserow .
The authorized official title is President and has the following contact phone number (225) 292-2031.

The CLIA number assigned to this NPI record is 20D0996673 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/1/2006 and was last updated on 10/6/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251G00000XHospice Care, Community Based36706MAINENo
2251G00000XHospice Care, Community Based38312MAINEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1201516MEDICARE OSCAR/CERTIFICATIONMAINE
2431853300MEDICAIDMAINE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI