BRISTOL HOSPICE - OHIO LLC NPI 1790661163

NPI Information

  • NPI: 1790661163
  • Provider Name: BRISTOL HOSPICE - OHIO, LLC
  • Classification: Hospice Care, Community Based - 251G00000X
  • Entity Type: Organization
  • CLIA Number: 36D2330264
  • Address: 5755 GRANGER RD STE 100
    INDEPENDENCE, OH
    ZIP 44131
  • Phone: (216) 350-3350

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NPI Details

BRISTOL HOSPICE - OHIO, LLC is a hospice care community based in Independence, OH. BRISTOL HOSPICE - OHIO, LLC NPI is 1790661163. The provider is registered as an organization entity type.

The provider's business location address is:

5755 GRANGER RD STE 100
INDEPENDENCE, OH
ZIP 44131-463
Phone: (216) 350-3350

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 36D2330264 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/12/2025 and was last updated on 8/12/2025.

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
1251G00000XHospice Care, Community BasedYes

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: 11/21/2025

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