BRISTOL HOSPICE - INDIANAPOLIS, LLC
NPI 1689439788
Hospice Care, Community Based in Greenwood, IN

Active since February 16, 2024
51 S PARK BLVD BLDG 1, GREENWOOD, IN 46143(317) 296-8600(317) 699-7729 Get Directions Write a Review

NPPES record last updated: February 16, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Hospice Care, Community Based

About BRISTOL HOSPICE - INDIANAPOLIS, LLC

This page provides the complete NPI Profile along with additional information for Bristol Hospice - Indianapolis, Llc, a provider established in Greenwood, Indiana operating as a Hospice Care, Community Based. The healthcare provider is registered in the NPI registry with number 1689439788 assigned on February 2024. The practitioner's primary taxonomy code is 251G00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Alex Mauricio (President And Ceo)

NPI
1689439788 Verify this NPI
Provider Name
BRISTOL HOSPICE - INDIANAPOLIS, LLC
Entity Type
Organization
Location Address
51 S PARK BLVD BLDG 1 GREENWOOD, IN 46143
Location Phone
(317) 296-8600
Location Fax
(317) 699-7729
Mailing Address
206 N 2100 W STE 202 SALT LAKE CITY, UT 84116
Mailing Phone
(801) 325-0175
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-16-2024
Last Update Date
02-16-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Hospice Care, Community Based

Taxonomy Code
251G00000X
Type
Agencies

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ALEX MAURICIO

Authorized Official Title
PRESIDENT AND CEO
Authorized Official Phone
(801) 325-0175

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689439788, enumerated as an "organization" on February 16, 2024.

The provider is located at 51 S PARK BLVD BLDG 1 GREENWOOD, IN 46143 and the phone number is (317) 296-8600.

Hospice Care, Community Based with taxonomy code 251G00000X.