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BRISTOL HOSPICE - CHICAGO, L.L.C.
NPI 1104548478
Hospice Care, Community Based in Des Plaines, IL

Active since September 14, 2022CLIA 14D2273091 · Waiver
2800 S RIVER RD STE 440, DES PLAINES, IL 60018(872) 777-1750(872) 702-6450 Get Directions Write a Review

NPPES record last updated: February 11, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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

NPI1104548478
Entity TypeOrganization
Primary Taxonomy251G00000X
Legal Business NameBRISTOL HOSPICE - CHICAGO, L.L.C.
Location Address2800 S RIVER RD STE 440Des Plaines, IL 60018-4202
Mailing Address206 N 2100 W Ste 202Salt Lake City, UT 84116-4741 · (801) 325-0175 · Fax (801) 478-3533
Phone(872) 777-1750
Fax(872) 702-6450
Organization SubpartYesParent: Bristol Hospice, L.l.c.
Authorized OfficialAlex MauricioPresident · (801) 325-0175
Enumeration DateSeptember 14, 2022
Last NPPES UpdateFebruary 11, 2026
NPPES CertifiedFebruary 11, 2026
✔ NPI 1104548478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospice Care, Community BasedAgencies
Taxonomy Code251G00000X
2800 S RIVER RD STE 440, Des Plaines, IL 60018
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Secondary Practice Location 1

Location 1745 McClintock Dr Ste 215Burr Ridge, IL 60527-0863 · Phone (331) 265-8900

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, IL
Active · expires Dec 5, 2026
CLIA Number14D2273091
Laboratory TypeHospice
Certificate Effective DateDecember 6, 2024
Certificate Expiration DateDecember 5, 2026
Laboratory DirectorSachin Jain
Laboratory Phone(872) 777-1750
Laboratory LocationBristol Hospice - Chicago LLC701 Lee St - Ste 480, Des Plaines, IL 60016
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Hospice 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, IL
OwnershipFor-Profit
CMS Certification Number141727
CMS RegionRegion 5
Medicare-Certified SinceJuly 6, 2023
Location701 Lee Street, Suite 480Des Plaines, IL 60016
Phone(872) 777-1750

Frequently 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.

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.

When was this NPI record last updated?

The NPPES record for Bristol Hospice - Chicago, L.L.C. was last updated on February 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.