NPIMap

Organization Active NPI

Beacon Hospice, LLC

Doing business as Metrowest HomeCare and Hospice, an Amedisys Company

  • Community Based Hospice Care Agency
  • Marlborough, MA
National Provider Identifier
1043335011
Registry record updated May 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
75ML Issued in MA
Legal business name
BEACON HOSPICE, LLC
Doing business as
Metrowest HomeCare and Hospice, an Amedisys Company
Practice address
200 Nickerson Rd Ste 110
Marlborough, MA 01752-4641
Phone
(508) 266-8290
Fax
(508) 229-3127
NPI assigned
Mar 20, 2007
Last updated
May 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Joshua L. Proffitt
Title
President and Ceo
Phone
(617) 639-4092

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 75ML MA Primary

Addresses

Primary practice location

200 Nickerson Rd Ste 110
Marlborough, MA 01752-4641

Mailing address

3854 American Way Ste a
Baton Rouge, LA 70816-4897
Phone (225) 292-2031

Other identifiers 1

IdentifierTypeStateIssuer
110125887AMedicaidMA

Other names 1

  • Metrowest HomeCare and Hospice, an Amedisys Company Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170725002754 MA Part A Provider - Hospice 8921058645 Practice locations: Marlborough, MA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1043335011. Details of each certification follow.

Hospice certification: CCN 221504B

Legal name
BEACON HOSPICE LLC
Doing business as
METROWEST HOMECARE AND HOSPICE, AN AMEDISYS COMPANY
Organization structure
LLCProprietary
Incorporated
Oct 15, 2004 in MA
Enrollment address
200 Nickerson Rd
Ste 110
Marlborough, MA 01752-4641

Other NPIs with the same Medicare PAC ID 9

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Beacon Hospice LLC9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations (25 of 37)

111 Founders Plz
#1
East Hartford, CT 06108
Phone (860) 282-0527

826 Southbridge St
Auburn, MA 01501
Phone (508) 832-0173

100 Cummings Ctr
Ste 222C
Beverly, MA 01915
Phone (978) 524-9510

182 N Main St
Fall River, MA 02720
Phone (508) 324-1900

45 N Main St
Fall River, MA 02720
Phone (508) 320-2482

115 Lincoln St
#5
Framingham, MA 01702
Phone (508) 383-1000

115 Lincoln St
Fl 5
Framingham, MA 01702
Phone (508) 383-1000

160 Speen St
Ste 205
Framingham, MA 01701
Phone (508) 875-1380

61 Lincoln St
Ste 106
Framingham, MA 01702
Phone (508) 620-0696

61 Lincoln St
Ste 111
Framingham, MA 01702
Phone (508) 620-0696

761 Worcester Rd
Fl 1
Framingham, MA 01701
Phone (508) 271-2042

761 Worcester Rd
Fl 3
Framingham, MA 01701
Phone (508) 271-2001

85 Lincoln St
Ste 522
Framingham, MA 01702
Phone (508) 383-8777

85 Worcester Rd
Framingham, MA 01701
Phone (508) 532-0223

1060 Falmouth Rd
Ste A
Hyannis, MA 02601
Phone (508) 778-1622

36 Williams St
Leominster, MA 01453
Phone (978) 466-7890

200 Nickerson Rd
Marlborough, MA 01752
Phone (508) 383-7000

200 Nickerson Rd
Ste 110
Marlborough, MA 01752
Phone (508) 424-0721

13 Branch St
#106
Methuen, MA 01844
Phone (978) 837-3333

13 Branch St
Ste 100
Methuen, MA 01844
Phone (978) 837-3333

32 Resnik Rd
Ste 3
Plymouth, MA 02360
Phone (508) 747-7222

15 Allerton St
Roxbury, MA 02119
Phone (617) 541-1803

104 Leominster Rd
Sterling, MA 01564
Phone (978) 422-0169

102 Shore Dr
Ste 202
Worcester, MA 01605
Phone (508) 407-7940

123 Summer St
Ste 273
Worcester, MA 01608
Phone (508) 363-6327

Ownership & related parties

All disclosed owners & managing parties 9

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Scott G Ginn Individual Corporate OfficerCfo Apr 15, 2022
Bridget R Kaigler Individual Corporate OfficerManager, Regulatory Apr 15, 2022
W-2 Managing Employee Apr 15, 2022
Amedisys Inc Organization, Baton Rouge, LA Corporation 5% Or Greater Indirect Ownership Interest May 1, 2017 100%
Travis Miglicco Individual Corporate OfficerVice President of Tax Apr 15, 2022
Kristina J Braud Individual Corporate OfficerManager, Regulatory Apr 15, 2022
W-2 Managing Employee Apr 15, 2022
Amedisys Holding LLC Organization, Baton Rouge, LA LLC 5% Or Greater Indirect Ownership Interest May 1, 2017 100%
Amedisys Ba LLC Organization, Baton Rouge, LA LLC 5% Or Greater Direct Ownership Interest May 1, 2017 100%
Paul Kusserow Individual Corporate OfficerCeo Nov 18, 2022
Jessica L Reardon Individual W-2 Managing EmployeeAdministrator May 20, 2019 100%
Operational/Managerial ControlAdministrator May 20, 2019 100%

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Beacon Hospice, an Amedisys CompanyEast Hartford, CT, CCN 071537 Hospice 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jun 7, 2011
Jun 7, 2011

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Beacon Hospice, LLC

    dba Beacon Hospice, an Amedisys Company

    • Community Based Hospice Care Agency
    • East Hartford, CT
    • NPI 1134203284

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership

Facilities with the same owner 9

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Change-of-ownership history 2

DateEventCounterparty
May 1, 2017 Change of OwnershipThis provider was the buyer Metrowest HospiceCCN 221504B, MA, NPI 1043335011
May 1, 2017 Change of OwnershipThis provider was the seller Metrowest Homecare and Hospice, an Amedisys CompanyCCN 221504B, MA, NPI 1043335011

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 23

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778198400000",
    "number": "1043335011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3854 AMERICAN WAY STE A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708164897",
            "telephone_number": "225-292-2031",
            "fax_number": "225-295-9678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 NICKERSON RD STE 110",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017524641",
            "telephone_number": "508-266-8290",
            "fax_number": "508-229-3127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A",
        "authorized_official_last_name": "PROFFITT",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "617-639-4092"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MA",
            "license": "75ML",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110125887A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Metrowest HomeCare and Hospice, an Amedisys Company",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marlborough, MA

Sources for this page

Verify at the official NPI Registry.