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BRISTOL HOSPICE - INDIANA, LLC
NPI 1457218505
Hospice Care, Community Based in Indianapolis, IN

Active since January 08, 2026CLIA 15D2342660 · Waiver
6411 S EAST ST, SUITE 6411A, INDIANAPOLIS, IN 46277(317) 699-7729(317) 449-9050 Get Directions Write a Review

NPPES record last updated: January 8, 2026. Verified against the NPPES registry weekly; last sync: August 16, 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 1457218505) is a healthcare organization registered as a hospice care, community based in Indianapolis, Indiana and active in the NPI registry since January 2026. The organization holds a CLIA Waiver certificate valid through April 22, 2028 and lists Alex Mauricio, President & Ceo, as its authorized official.

NPPES Registry Identity

NPI1457218505
Entity TypeOrganization
Primary Taxonomy251G00000X
Legal Business NameBRISTOL HOSPICE - INDIANA, LLC
Location Address6411 S EAST ST, SUITE 6411AIndianapolis, IN 46277-2736
Mailing Address206 N 2100 W Ste 202Salt Lake City, UT 84116-4741 · (317) 449-9050 · Fax (317) 699-7729
Phone(317) 699-7729
Fax(317) 449-9050
Organization SubpartNo
Authorized OfficialAlex MauricioPresident & Ceo · (801) 325-0175
Enumeration DateJanuary 8, 2026
NPPES CertifiedJanuary 8, 2026
✔ NPI 1457218505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospice Care, Community BasedAgencies
Taxonomy Code251G00000X
6411 S EAST ST, Indianapolis, IN 46277
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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 15D2342660

Bristol Hospice - Indiana, LLC Dba Bristol Hospice - Indianapolis · Indianapolis, IN
Active · expires Apr 22, 2028
CLIA Number15D2342660
Laboratory TypeHospice
Certificate Effective DateApril 23, 2026
Certificate Expiration DateApril 22, 2028
Laboratory DirectorMadision Hollabaugh
Laboratory Phone(317) 449-9050
Laboratory LocationBristol Hospice - Indiana, LLC Dba Bristol Hospice - Indianapolis6411 S East St, Suite 6411A, Indianapolis, IN 46227
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 1457218505. It was assigned to this organization in the NPPES registry on January 8, 2026.

Where is Bristol Hospice - Indiana, LLC located?

Bristol Hospice - Indiana, LLC is located at 6411 S East St Suite 6411A, Indianapolis, IN 46277. The listed phone number is (317) 699-7729.

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 15D2342660) is associated with this NPI, valid through April 22, 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 January 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.