BRISTOL HOSPICE FAIRFAX LLC
NPI 1689538787
Hospice Care, Community Based in Fairfax, VA
About Bristol Hospice Fairfax Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRISTOL HOSPICE FAIRFAX LLC (NPI 1689538787) is a healthcare organization registered as a hospice care, community based in Fairfax, Virginia and active in the NPI registry since December 2025. The organization holds a CLIA Waiver certificate valid through March 19, 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 49D2340675
Bristol Hospice - Fairfax LLC · Fairfax, VAFrequently 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 Fairfax LLC's NPI number?
The NPI number for Bristol Hospice Fairfax LLC is 1689538787. It was assigned to this organization in the NPPES registry on December 12, 2025.
Where is Bristol Hospice Fairfax LLC located?
Bristol Hospice Fairfax LLC is located at 12011 Route 50 Ste 510, Fairfax, VA 22033. The listed phone number is (703) 977-9005.
What is Bristol Hospice Fairfax LLC's specialty?
The primary specialty registered for this NPI is Hospice Care, Community Based with taxonomy code 251G00000X.
Does Bristol Hospice Fairfax LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 49D2340675) is associated with this NPI, valid through March 19, 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 Fairfax LLC was last updated on February 26, 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 Fairfax Llc · NPI 1689538787
Hospice Care, Community Based organization in Fairfax, Virginia. Organization record, active in the CMS NPPES registry since December 12, 2025.
## Identity
- **NPI:** 1689538787 (Entity type: Organization)
- **Enumerated:** December 12, 2025
- **Primary specialty:** Hospice Care, Community Based · taxonomy 251G00000X
- **Organization subpart:** No
- **Authorized official:** Alex Mauricio, PRESIDENT & CEO
## Practice location
- **Address:** 12011 ROUTE 50 STE 510, Fairfax, VA 22033-3315
- **Phone:** (703) 977-9005
## Record status
- **NPPES last updated:** February 26, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1689538787) · Data from the CMS NPPES public registry.