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Contact Information

BEACON HOSPICE, LLC
1026 STILLWATER AVE
BANGOR, ME04401-2616
 Phone: 207-942-2920
 Fax: 207-942-3026
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospice Care, Community Based

251G00000X B4[14] Hospice
Indicates primary specialty

NPI Profile & details for BEACON HOSPICE, LLC

NPI # 1245444280
LBN Legal business name BEACON HOSPICE, LLC
Authorized official JOSHUA PROFFITT - (PRESIDENT & CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 05/09/2007
Last updated 05/08/2026 - About a month ago
Identifiers
ME License # 38375
ME Medicaid 431853304
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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