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BRISTOL HOSPICE - INDIANA LLC
NPI 1407746456
Hospice Care, Community Based in New Albany, IN

Active since July 09, 2025CLIA 15D2332283 · Waiver
401 E MAIN ST STE 200, NEW ALBANY, IN 47150(812) 200-0780(812) 803-1393 Get Directions Write a Review

NPPES record last updated: July 9, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bristol Hospice - Indiana Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRISTOL HOSPICE - INDIANA LLC (NPI 1407746456) is a healthcare organization registered as a hospice care, community based in New Albany, Indiana and active in the NPI registry since July 2025. The organization holds a CLIA Waiver certificate valid through October 15, 2027 and lists Alex Mauricio, President And Ceo, as its authorized official.

NPPES Registry Identity

NPI1407746456
Entity TypeOrganization
Primary Taxonomy251G00000X
Legal Business NameBRISTOL HOSPICE - INDIANA LLC
Location Address401 E MAIN ST STE 200New Albany, IN 47150-5803
Mailing Address206 N 2100 W Ste 202Salt Lake City, UT 84116-4741 · (801) 325-0175
Phone(812) 200-0780
Fax(812) 803-1393
Organization SubpartNo
Authorized OfficialAlex MauricioPresident And Ceo · (801) 325-0175
Enumeration DateJuly 9, 2025
NPPES CertifiedJuly 9, 2025
✔ NPI 1407746456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospice Care, Community BasedAgencies
Taxonomy Code251G00000X
401 E MAIN ST STE 200, New Albany, IN 47150
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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 15D2332283

Bristol Hospice - Indiana LLC · New Albany, IN
Active · expires Oct 15, 2027
CLIA Number15D2332283
Laboratory TypeHospice
Certificate Effective DateOctober 16, 2025
Certificate Expiration DateOctober 15, 2027
Laboratory DirectorTamera Crowe
Laboratory Phone(812) 200-0780
Laboratory LocationBristol Hospice - Indiana LLC401 E Main Street, Suite 200, New Albany, IN 47150
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 - Indiana LLC's NPI number?

The NPI number for Bristol Hospice - Indiana LLC is 1407746456. It was assigned to this organization in the NPPES registry on July 9, 2025.

Where is Bristol Hospice - Indiana LLC located?

Bristol Hospice - Indiana LLC is located at 401 E Main St Ste 200, New Albany, IN 47150. The listed phone number is (812) 200-0780.

What is Bristol Hospice - Indiana LLC's specialty?

The primary specialty registered for this NPI is Hospice Care, Community Based with taxonomy code 251G00000X.

Does Bristol Hospice - Indiana LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2332283) is associated with this NPI, valid through October 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bristol Hospice - Indiana LLC was last updated on July 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.