BRISTOL HOSPICE-TEXAS LLC NPI 1649563552

NPI Information

NPI: 1649563552
Provider Name: BRISTOL HOSPICE-TEXAS LLC
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 45D2028944

Address:
2002 TIMBERLOCH PL
SUITE 150
THE WOODLANDS, TX
ZIP 77380
Phone: (281) 419-4476
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BRISTOL HOSPICE-TEXAS LLC is a hospice care community based in The Woodlands, TX. BRISTOL HOSPICE-TEXAS LLC NPI is 1649563552. The provider is registered as an organization entity type.

The provider's business location address is:

2002 TIMBERLOCH PL
SUITE 150
THE WOODLANDS, TX
ZIP 77380
Phone: (281) 419-4476
Fax: (281) 419-0525

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

The CLIA number assigned to this NPI record is 45D2028944 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/25/2011 and was last updated on 4/25/2023.

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	315D00000X	Hospice, Inpatient				No
2	251G00000X	Hospice Care, Community Based				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1020608	MEDICAID	TEXAS

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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