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BROOKHAVEN HOSPICE OF MAINE LLC
NPI 1477418952
Hospice Care, Community Based in Scarborough, ME

Active since December 17, 2025CLIA 20D2337141 · Waiver
23 SPRING ST STE A, SCARBOROUGH, ME 04074(207) 305-1537 Get Directions Write a Review

NPPES record last updated: December 17, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Brookhaven Hospice Of Maine Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BROOKHAVEN HOSPICE OF MAINE LLC (NPI 1477418952) is a healthcare organization registered as a hospice care, community based in Scarborough, Maine and active in the NPI registry since December 2025. The organization holds a CLIA Waiver certificate valid through January 15, 2028 and lists Jesse R Moore, Chief Administrative Officer, as its authorized official.

NPPES Registry Identity

NPI1477418952
Entity TypeOrganization
Primary Taxonomy251G00000X
Legal Business NameBROOKHAVEN HOSPICE OF MAINE LLC
Location Address23 SPRING ST STE AScarborough, ME 04074-7701
Mailing Address1234 Chestnut St Ste 114Newton, MA 02464-1491 · (434) 977-9711 · Fax (434) 235-4142
Phone(207) 305-1537
Organization SubpartNo
Authorized OfficialJesse R MooreChief Administrative Officer · (857) 331-6271
Enumeration DateDecember 17, 2025
NPPES CertifiedDecember 17, 2025
✔ NPI 1477418952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospice Care, Community BasedAgencies
Taxonomy Code251G00000X
23 SPRING ST STE A, Scarborough, ME 04074
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 20D2337141

Brookhaven Hospice Of Maine, LLC · Scarborough, ME
Active · expires Jan 15, 2028
CLIA Number20D2337141
Laboratory TypeHospice
Certificate Effective DateJanuary 16, 2026
Certificate Expiration DateJanuary 15, 2028
Laboratory DirectorKyra Mancini
Laboratory Phone(207) 305-1537
Laboratory LocationBrookhaven Hospice Of Maine, LLC23 Spring St Suite A, Scarborough, ME 04074
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brookhaven Hospice Of Maine LLC's NPI number?

The NPI number for Brookhaven Hospice Of Maine LLC is 1477418952. It was assigned to this organization in the NPPES registry on December 17, 2025.

Where is Brookhaven Hospice Of Maine LLC located?

Brookhaven Hospice Of Maine LLC is located at 23 Spring St Ste A, Scarborough, ME 04074. The listed phone number is (207) 305-1537.

What is Brookhaven Hospice Of Maine LLC's specialty?

The primary specialty registered for this NPI is Hospice Care, Community Based with taxonomy code 251G00000X.

Does Brookhaven Hospice Of Maine LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 20D2337141) is associated with this NPI, valid through January 15, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Brookhaven Hospice Of Maine LLC was last updated on December 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.