BRISTOL HOSPICE - SACRAMENTO LLC NPI 1235331828

NPI Information

NPI: 1235331828
Provider Name: BRISTOL HOSPICE - SACRAMENTO, LLC
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 05D1077480

Address:
2140 PROFESSIONAL DR
SUITE 210
ROSEVILLE, CA
ZIP 95661
Phone: (916) 782-5511
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BRISTOL HOSPICE - SACRAMENTO, LLC is a hospice care community based in Roseville, CA. BRISTOL HOSPICE - SACRAMENTO, LLC NPI is 1235331828. The provider is registered as an organization entity type.

The provider's business location address is:

2140 PROFESSIONAL DR
SUITE 210
ROSEVILLE, CA
ZIP 95661
Phone: (916) 782-5511
Fax: (916) 782-5635

The provider's authorized official is Hyrum Kirton .
The authorized official title is President/ceo and has the following contact phone number (801) 325-0175.

The CLIA number assigned to this NPI record is 05D1077480 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/5/2007 and was last updated on 5/18/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251G00000X	Hospice Care, Community Based				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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