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BRISTOL HOSPICE - OHIO, LLC
NPI 1790661163
Hospice Care, Community Based in Independence, OH

Active since August 12, 2025CLIA 36D2330264 · Waiver
5755 GRANGER RD STE 100, INDEPENDENCE, OH 44131(216) 350-3350 Get Directions Write a Review

NPPES record last updated: August 12, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Bristol Hospice - Ohio, Llc NPPES

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

BRISTOL HOSPICE - OHIO, LLC (NPI 1790661163) is a healthcare organization registered as a hospice care, community based in Independence, Ohio and active in the NPI registry since August 2025. The organization holds a CLIA Waiver certificate valid through September 11, 2027 and lists Alex Mauricio, President And Ceo, as its authorized official.

NPPES Registry Identity

NPI1790661163
Entity TypeOrganization
Primary Taxonomy251G00000X
Legal Business NameBRISTOL HOSPICE - OHIO, LLC
Location Address5755 GRANGER RD STE 100Independence, OH 44131-1463
Mailing Address206 N 2100 W Ste 202Salt Lake City, UT 84116-4741 · (801) 325-0175
Phone(216) 350-3350
Organization SubpartNo
Authorized OfficialAlex MauricioPresident And Ceo · (801) 325-0175
Enumeration DateAugust 12, 2025
NPPES CertifiedAugust 12, 2025
✔ NPI 1790661163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospice Care, Community BasedAgencies
Taxonomy Code251G00000X
5755 GRANGER RD STE 100, Independence, OH 44131
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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 36D2330264

Bristol Hospice - Ohio LLC Dba Bristol Hospice - Cleveland · Independence, OH
Active · expires Sep 11, 2027
CLIA Number36D2330264
Laboratory TypeHospice
Certificate Effective DateSeptember 12, 2025
Certificate Expiration DateSeptember 11, 2027
Laboratory DirectorErin Halbach
Laboratory Phone(216) 350-3350
Laboratory LocationBristol Hospice - Ohio LLC Dba Bristol Hospice - Cleveland5755 Granger Road, Ste 100, Independence, OH 44131
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 - Ohio, LLC's NPI number?

The NPI number for Bristol Hospice - Ohio, LLC is 1790661163. It was assigned to this organization in the NPPES registry on August 12, 2025.

Where is Bristol Hospice - Ohio, LLC located?

Bristol Hospice - Ohio, LLC is located at 5755 Granger Rd Ste 100, Independence, OH 44131. The listed phone number is (216) 350-3350.

What is Bristol Hospice - Ohio, LLC's specialty?

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

Does Bristol Hospice - Ohio, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2330264) is associated with this NPI, valid through September 11, 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 - Ohio, LLC was last updated on August 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.