NPIMap

Beacon Hospice, LLC

Organization Active NPI Community Based Hospice Care Agency · Springfield, MA

NPI 1508012204 · NPPES record last updated May 8, 2026

Key facts

NPI
1508012204
Entity type
Organization (NPI type 2)
Primary specialty
Community Based Hospice Care Agency 251G00000X
License
7KNQ (MA)
Legal business name
BEACON HOSPICE, LLC
Practice address
815 Worcester St
Springfield, MA 01151-1001
Phone
(413) 543-3133
Fax
(413) 543-3137
NPI assigned
Aug 13, 2008
Organization subpart
No

Authorized official

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

Owners & managing parties with NPI records 1

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

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 Community Based Hospice Care Agency · East Hartford, CT · NPI 1134203284
    CMS ownership 5% OR GREATER DIRECT OWNERSHIP INTEREST · OPERATIONAL/MANAGERIAL CONTROL

Other NPIs with the same Medicare PAC ID 9

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

Corporate family (same tax ID) 8

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Facilities with the same owner 9

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

Affiliated clinicians 10

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

Medicare Care Compare: Hospice

Listed as
Beacon Hospice, an Amyedisys Company CCN 221573
Ownership
For-Profit
Certified
Feb 15, 2007
Medicare certification status
Active (Provider of Services file)

Source: Medicare Care Compare.

Laboratory certificates & supplier records

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D1093310Beacon Hospice LLC
815 Worcester Street, Springfield, MA 01151		Certificate of waiverDec 15, 2026

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MA

Hospice certification: CCN 221573

Legal name
BEACON HOSPICE LLC
Doing business as
BEACON HOSPICE, AN AMEDISYS COMPANY
Certification status
Active
Provider type (POS)
Hospice
Participating since
Feb 15, 2007
Last certification
Jun 27, 2022
Ownership / control type
Proprietary - Corporation
Organization structure
LLC · Proprietary
Enrollment address
815 Worcester St
Springfield, MA 01151-1001

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
Unitedhealth Group Incorporated
Organization · Minnetonka, MN
Corporation, For-profit 		5% Or Greater Indirect Ownership Interest Aug 14, 2025 100%
Marcus Donavon Macip
Individual 		Corporate Officer
Vice President		 Jan 1, 2026
Kimberly Seymour
Individual 		Corporate Officer
Coo		 Apr 13, 2026
Bridget R Kaigler
Individual 		W-2 Managing Employee Apr 15, 2022
Operational/Managerial Control
Sr. Drector Tax		 Apr 15, 2022
Amedisys Inc
Organization · Baton Rouge, LA
Corporation, For-profit, Chain home office, Owned by another organization or individual 		5% Or Greater Indirect Ownership Interest Jun 7, 2011 100%
Joni Babineaux
Individual 		Corporate Officer
Cfo		 Apr 13, 2026
Kristina J Braud
Individual 		W-2 Managing Employee Apr 15, 2022
Operational/Managerial Control
Regulatory Manager		 Apr 15, 2022
Ann Maria Elder
Individual 		W-2 Managing Employee
Medical Director		 May 20, 2012
Jeanne Louise Shingleton
Individual 		Corporate Officer
Secretary		 Jan 1, 2026
Amedisys Holding LLC
Organization · Baton Rouge, LA
LLC, Holding company, For-profit, Owned by another organization or individual 		5% Or Greater Indirect Ownership Interest Jun 7, 2011 100%
Amedisys Ba LLC
Organization · Baton Rouge, LA
LLC, For-profit, Owned by another organization or individual 		5% Or Greater Direct Ownership Interest Jun 7, 2011 100%
Joshua Lee Proffitt
Individual 		Corporate Officer
President		 Jan 1, 2026
Lori Sargeant
Individual 		W-2 Managing Employee
Administrator		 Jul 12, 2021 100%
Operational/Managerial Control
Administrator		 Jul 12, 2021 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 Company
East Hartford, CT · CCN 071537		 Hospice 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jun 7, 2011
Jun 7, 2011

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20100128000208 MA Part a Provider - Hospice 8921058645 Practice locations: Springfield, MA

National Provider Directory

Tax ID family
Beacon Hospice LLC (9 organizations share this tax ID)

Locations

2399 Boston Rd
Wilbraham, MA 01095
Phone (413) 596-3111

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 7KNQ MA Yes
Community Based Hospice Care Agency 251G00000X

Addresses

Primary practice location

815 Worcester St
Springfield, MA 01151-1001

Mailing address

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

Other identifiers

IdentifierTypeStateIssuer
110024514IMedicaidMA

Other names

  • Beacon Hospice, an Amedisys Company Doing business as

Other providers in Springfield, MA

All providers in Springfield, MA · Community Based Hospice Care Agency in Massachusetts

Sources for this page

Verify at the official NPI Registry.