BRISTOL HOSPICE - ROGUE VALLEY L.L.C. NPI 1639469380

NPI Information

NPI: 1639469380
Provider Name: BRISTOL HOSPICE - ROGUE VALLEY, L.L.C.

Former Legal Business Name: COMFORT HOSPICE AND PALLIATIVE CARE, LLC

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

Address:
1867 WILLIAMS HWY STE 110
GRANTS PASS, OR
ZIP 97527
Phone: (582) 123-4224
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BRISTOL HOSPICE - ROGUE VALLEY, L.L.C. is a hospice care community based in Grants Pass, OR. BRISTOL HOSPICE - ROGUE VALLEY, L.L.C. NPI is 1639469380. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Comfort Hospice And Palliative Care, Llc.

The provider's business location address is:

1867 WILLIAMS HWY STE 110
GRANTS PASS, OR
ZIP 97527-854
Phone: (582) 123-4224
Fax: (541) 291-9806

The provider's authorized official is Alex Mauricio .
The authorized official title is President And Ceo and has the following contact phone number (801) 325-0175.

The CLIA number assigned to this NPI record is 38D2173941 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/14/2011 and was last updated on 10/13/2023.

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: 4/28/2024

NPI Synchronization or Removal

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