BRISTOL HOSPICE - STATE COLLEGE, LLC
NPI 1831951706
Hospice Care, Community Based in State College, PA

Active since January 26, 2024CLIA 39D2316329 · Waiver
170 ROLLING RIDGE DR, STATE COLLEGE, PA 16801(814) 201-7300(814) 737-0993 Get Directions Write a Review

NPPES record last updated: September 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bristol Hospice - State College, Llc NPPES

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

BRISTOL HOSPICE - STATE COLLEGE, LLC (NPI 1831951706) is a healthcare organization registered as a hospice care, community based in State College, Pennsylvania and active in the NPI registry since January 2024. The organization holds a CLIA Waiver certificate valid through January 2, 2027 and lists Alex Mauricio, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1831951706
Entity TypeOrganization
Primary Taxonomy251G00000X
Legal Business NameBRISTOL HOSPICE - STATE COLLEGE, LLC
Location Address170 ROLLING RIDGE DRState College, PA 16801-7674
Mailing Address206 N 2100 W Ste 202Salt Lake City, UT 84116-4741 · (801) 325-0175
Fax(814) 737-0993
Organization SubpartNo
Authorized OfficialAlex MauricioPresident/ceo · (801) 325-0175
Enumeration DateJanuary 26, 2024
Last NPPES UpdateSeptember 3, 2024
NPPES CertifiedSeptember 3, 2024
NPI 1831951706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHospice Care, Community BasedAgencies
Taxonomy Code251G00000X
170 ROLLING RIDGE DR, State College, PA 16801

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 39D2316329

Bristol Hospice - State College, LLC · State College, PA
Active · expires Jan 2, 2027
CLIA Number39D2316329
Laboratory TypeHospice
Certificate Effective DateJanuary 3, 2025
Certificate Expiration DateJanuary 2, 2027
Laboratory DirectorDr. Gregory A. Skochko
Laboratory Phone(814) 201-7300
Laboratory LocationBristol Hospice - State College, LLC170 Rolling Ridge Drive, State College, PA 16801
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 - State College, LLC's NPI number?

The NPI number for Bristol Hospice - State College, LLC is 1831951706. It was assigned to this organization in the NPPES registry on January 26, 2024.

Where is Bristol Hospice - State College, LLC located?

Bristol Hospice - State College, LLC is located at 170 Rolling Ridge Dr, State College, PA 16801. The listed phone number is (814) 201-7300.

What is Bristol Hospice - State College, LLC's specialty?

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

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

Yes. A Certificate of Waiver (number 39D2316329) is associated with this NPI, valid through January 2, 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 - State College, LLC was last updated on September 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.