BRISTOL HOSPICE - INDIANA LLC
NPI 1417803545
Hospice Care, Community Based in Merrillville, IN
About Bristol Hospice - Indiana Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRISTOL HOSPICE - INDIANA LLC (NPI 1417803545) is a healthcare organization registered as a hospice care, community based in Merrillville, Indiana and active in the NPI registry since March 2026. The organization holds a CLIA Waiver certificate valid through April 13, 2028 and lists Alex Mauricio, President & Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 15D2342089
Bristol Hospice - Indiana, LLC Dba Bristol Hospice Northwest Indiana · Merrillville, INFrequently 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 1417803545. It was assigned to this organization in the NPPES registry on March 10, 2026.
Where is Bristol Hospice - Indiana LLC located?
Bristol Hospice - Indiana LLC is located at 8585 Broadway Ste 780, Merrillville, IN 46410. The listed phone number is (219) 233-5900.
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 15D2342089) is associated with this NPI, valid through April 13, 2028. 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 March 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Bristol Hospice - Indiana Llc · NPI 1417803545
Hospice Care, Community Based organization in Merrillville, Indiana. Organization record, active in the CMS NPPES registry since March 10, 2026.
## Identity
- **NPI:** 1417803545 (Entity type: Organization)
- **Enumerated:** March 10, 2026
- **Primary specialty:** Hospice Care, Community Based · taxonomy 251G00000X
- **Organization subpart:** No
- **Authorized official:** Alex Mauricio, PRESIDENT & CEO
## Practice location
- **Address:** 8585 BROADWAY STE 780, Merrillville, IN 46410-5662
- **Phone:** (219) 233-5900
## Record status
- **NPPES last updated:** March 10, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1417803545) · Data from the CMS NPPES public registry.