Organization Name: | BEACON HOSPICE, LLC |
NPI Number: | 1508012204 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PAUL B KUSSEROW (PRESIDENT) |
Mailing Address: | 815 Worcester St Springfield |
State: | MA US |
Postal Code: | 011511001 |
Phone Number: | 4135433133 |
Fax Number: | 4135433137 |
NPI Enumeration Date: | 08/13/2008 |
NPI Last Update Date: | 03/19/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |