Active NPI
Brookhaven Hospice of Maine LLC
- Community Based Hospice Care Agency
- Scarborough, ME
National Provider Identifier
1477418952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- BROOKHAVEN HOSPICE OF MAINE LLC
- Practice address
- 23 Spring St Ste a
Scarborough, ME 04074-7701 - Phone
- (207) 305-1537
- NPI assigned
- Dec 17, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jesse R Moore
- Title
- Chief Administrative Officer
- Phone
- (857) 331-6271
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
23 Spring St Ste a
Scarborough, ME 04074-7701
Mailing address
1234 Chestnut St Ste 114
Newton, MA 02464-1491
Phone (434) 977-9711
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 20D2337141 | Brookhaven Hospice of Maine, LLC | Certificate of waiver | Jan 15, 2028 |
National Provider Directory
National Provider DirectoryLocations
23 Spring St
Ste A
Scarborough, ME 04074
Phone (207) 305-1537
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1765929600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1765929600000",
"number": "1477418952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1234 CHESTNUT ST STE 114",
"city": "NEWTON",
"state": "MA",
"postal_code": "024641491",
"telephone_number": "434-977-9711",
"fax_number": "434-235-4142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 SPRING ST STE A",
"city": "SCARBOROUGH",
"state": "ME",
"postal_code": "040747701",
"telephone_number": "207-305-1537"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BROOKHAVEN HOSPICE OF MAINE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-12-17",
"last_updated": "2025-12-17",
"certification_date": "2025-12-17",
"status": "A",
"authorized_official_last_name": "MOORE",
"authorized_official_first_name": "JESSE",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
"authorized_official_telephone_number": "857-331-6271"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scarborough, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.