NPIMap

Organization Active NPI

Beacon Hospice, LLC

Doing business as Beacon Hospice, an Amedisys Company

  • Community Based Hospice Care Agency
  • Bangor, ME
National Provider Identifier
1245444280
Registry record updated May 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
38375 Issued in ME
Legal business name
BEACON HOSPICE, LLC
Doing business as
Beacon Hospice, an Amedisys Company
Practice address
1026 Stillwater Ave
Bangor, ME 04401-2616
Phone
(207) 942-2920
Fax
(207) 942-3026
NPI assigned
May 9, 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 & Ceo
Phone
(617) 639-4092

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 38375 ME Primary

Addresses

Primary practice location

1026 Stillwater Ave
Bangor, ME 04401-2616

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
431853304MedicaidME

Other names 1

  • Beacon Hospice, an Amedisys Company Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070731000267 ME Part A Provider - Hospice 8921058645 Practice locations: Bangor, ME

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1245444280. Details of each certification follow.

Hospice certification: CCN 201520

Legal name
BEACON HOSPICE LLC
Doing business as
BEACON HOSPICE, AN AMEDISYS COMPANY
Certification status
Active
Provider type (POS)
Hospice
Participating since
Nov 22, 2007
Last certification
Sep 17, 2021
Ownership / control type
Other
Organization structure
LLCProprietary
Incorporated
Oct 15, 2004 in ME
Enrollment address
1026 Stillwater Ave
Bangor, ME 04401-2616

Other NPIs with the same Medicare PAC ID 9

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

  • Beacon Hospice, LLC

    dba Beacon Hospice, an Amedisys Company

    • Community Based Hospice Care Agency
    • Auburn, ME
    • NPI 1083798938

    8921058645

    Same PAC ID
  • Beacon Hospice, LLC

    dba Beacon Hospice, an Amedisys Company

    • Community Based Hospice Care Agency
    • South Portland, ME
    • NPI 1437236551

    8921058645

    Same PAC ID
  • Beacon Hospice, LLC

    dba Beacon Hospice, an Amedisys Company

    • Community Based Hospice Care Agency
    • Portsmouth, NH
    • NPI 1023193703

    8921058645

    Same PAC ID
  • Beacon Hospice, LLC

    dba Metrowest HomeCare and Hospice, an Amedisys Company

    • Community Based Hospice Care Agency
    • Marlborough, MA
    • NPI 1043335011

    8921058645

    Same PAC ID
  • Beacon Hospice, LLC

    dba Beacon Hospice, an Amedisys Company

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

    8921058645

    Same PAC ID
  • Beacon Hospice, LLC

    dba Beacon Hospice, an Amedisys Company

    • Community Based Hospice Care Agency
    • Leominster, MA
    • NPI 1386839520

    8921058645

    Same PAC ID
  • Beacon Hospice, LLC

    dba Beacon Hospice, an Amedisys Company

    • Community Based Hospice Care Agency
    • Springfield, MA
    • NPI 1508012204

    8921058645

    Same PAC ID
  • Beacon Hospice, LLC

    dba Beacon Hospice, an Amedisys Company

    • Community Based Hospice Care Agency
    • East Providence, RI
    • NPI 1558445569

    8921058645

    Same PAC ID
  • Beacon Hospice, LLC

    dba Beacon Hospice, an Amedisys Company

    • Community Based Hospice Care Agency
    • Fall River, MA
    • NPI 1932283694

    8921058645

    Same PAC ID

Care Compare: Hospice

Medicare Care Compare
Listed as
Beacon Hospice, an Amedisys CompanyCCN 201520 · All quality measures
Ownership
For-Profit
Certified
Nov 22, 2007
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
20D1071967Beacon Hospice, LLC1026 Stillwater Avenue, Bangor, ME 04401Certificate of waiverAug 6, 2027

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

1026 Stillwater Ave
Bangor, ME 04401
Phone (207) 942-2920

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Katie Pearl Individual W-2 Managing EmployeeAdminstrator May 29, 2021 100%
Operational/Managerial ControlAdminstrator May 29, 2021 100%
Unitedhealth Group Incorporated Organization, Minnetonka, MN Corporation, For-profit 5% Or Greater Indirect Ownership Interest Aug 14, 2025 100%
Marcus Donavon Macip Individual Corporate OfficerVice President Jan 1, 2026
Kimberly Seymour Individual Corporate OfficerCoo Apr 13, 2026
Bridget R Kaigler Individual W-2 Managing Employee Apr 15, 2022
Operational/Managerial ControlSr. Director, Tax Apr 15, 2022
Amedisys Inc Organization, Baton Rouge, LA Corporation 5% Or Greater Indirect Ownership Interest Jun 7, 2011 100%
Joni Babineaux Individual Corporate OfficerCfo Apr 13, 2026
Kristina J Braud Individual W-2 Managing Employee Apr 15, 2022
Operational/Managerial ControlRegulatory Manager Apr 15, 2022
Jeanne Louise Shingleton Individual Corporate OfficerSecretary Jan 1, 2026
Starie L Seay Individual W-2 Managing EmployeeMD; Mar 25, 2024
Amedisys Holding LLC Organization, Baton Rouge, LA LLC 5% Or Greater Indirect Ownership Interest Jun 7, 2011 100%
Amedisys Ba LLC Organization, Baton Rouge, LA LLC 5% Or Greater Direct Ownership Interest Jun 7, 2011 100%
Joshua Lee Proffitt Individual Corporate OfficerPresident Jan 1, 2026

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

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.

Practitioners & affiliated clinicians

Affiliated clinicians 18

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778198400000",
    "number": "1245444280",
    "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": "1026 STILLWATER AVE",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044012616",
            "telephone_number": "207-942-2920",
            "fax_number": "207-942-3026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "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 & CEO",
        "authorized_official_telephone_number": "617-639-4092"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "ME",
            "license": "38375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "431853304",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beacon Hospice, an Amedisys Company",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bangor, ME

Sources for this page

Verify at the official NPI Registry.