BRISTOL HOSPICE - CHICAGO, L.L.C.
NPI 1104548478
Hospice Care, Community Based in Des Plaines, IL
About Bristol Hospice - Chicago, L.l.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRISTOL HOSPICE - CHICAGO, L.L.C. (NPI 1104548478) is a healthcare organization registered as a hospice care, community based in Des Plaines, Illinois and active in the NPI registry since September 2022. The organization holds a CLIA Waiver certificate valid through December 5, 2026, maintains a secondary practice location in Burr Ridge, and lists Alex Mauricio, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Bristol Hospice - Chicago, L.l.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Bristol Hospice - Chicago, L.L.C., which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 14D2273091
Bristol Hospice - Chicago LLC · Des Plaines, ILHospice Care Quality CMS Care Compare
Quality measures, care settings and the Hospice Care Index for Bristol Hospice - Chicago, LLC (CMS certification number 141727), from CMS Care Compare.
Bristol Hospice - Chicago, LLC
Hospice · Des Plaines, ILFrequently 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 Bristol Hospice - Chicago, L.L.C.'s NPI number?
The NPI number for Bristol Hospice - Chicago, L.L.C. is 1104548478. It was assigned to this organization in the NPPES registry on September 14, 2022.
Where is Bristol Hospice - Chicago, L.L.C. located?
Bristol Hospice - Chicago, L.L.C. is located at 2800 S River Rd Ste 440, Des Plaines, IL 60018. The listed phone number is (872) 777-1750.
What is Bristol Hospice - Chicago, L.L.C.'s specialty?
The primary specialty registered for this NPI is Hospice Care, Community Based with taxonomy code 251G00000X.
Is Bristol Hospice - Chicago, L.L.C. enrolled in Medicare?
Yes. Bristol Hospice - Chicago, L.L.C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Bristol Hospice - Chicago, L.L.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Bristol Hospice - Chicago, L.L.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Bristol Hospice - Chicago, L.L.C. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 14D2273091) is associated with this NPI, valid through December 5, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
Is Bristol Hospice - Chicago, L.L.C. a Medicare-certified hospice?
Yes. Bristol Hospice - Chicago, LLC is a Medicare-certified hospice (CMS certification number 141727), certified since July 6, 2023.
What insurance does Bristol Hospice - Chicago, L.L.C. accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Bristol Hospice - Chicago, L.L.C. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Bristol Hospice - Chicago, L.L.C. was last updated on September 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 41 days 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.
# Bristol Hospice - Chicago, L.l.c. · NPI 1104548478
Hospice Care, Community Based organization in Des Plaines, Illinois. Organization record, active in the CMS NPPES registry since September 14, 2022.
## Identity
- **NPI:** 1104548478 (Entity type: Organization)
- **Enumerated:** September 14, 2022
- **Primary specialty:** Hospice Care, Community Based · taxonomy 251G00000X
- **Organization subpart:** Yes (part of Bristol Hospice, L.l.c.)
- **Authorized official:** Alex Mauricio, PRESIDENT
## Practice location
- **Address:** 2800 S RIVER RD STE 440, Des Plaines, IL 60018-4202
- **Phone:** (872) 777-1750 · **Fax:** (872) 702-6450
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 16, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1104548478) · Data from the CMS NPPES public registry.