Active NPI
Bristol Hospice - Coachella Valley, L.L.C.
- Community Based Hospice Care Agency
- Rancho Mirage, CA
National Provider Identifier
1386025583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- BRISTOL HOSPICE - COACHELLA VALLEY, L.L.C.
- Practice address
- 35400 Bob Hope Dr Ste 213
Rancho Mirage, CA 92270-1774 - Phone
- (760) 832-6056
- Fax
- (760) 832-6124
- NPI assigned
- Jun 12, 2015
- Organization subpart
- Yes
- Parent organization
- BRISTOL HOSPICE, L.L.C.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Alex Mauricio
- Title
- President & Ceo
- Phone
- (801) 325-0175
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | CA | Primary |
Addresses
Primary practice location
35400 Bob Hope Dr Ste 213
Rancho Mirage, CA 92270-1774
Mailing address
206 N 2100 W Ste 202
Salt Lake City, UT 84116-4741
Phone (801) 325-0175
Other practice location 1
1180 N Indian Canyon Dr
Suite E420
Palm Springs, CA 92262-4800
Phone (909) 234-5126
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386025583 | Other | 0000 |
Other names 1
- Destiny Hospice of the Desert
National Provider Directory
National Provider Directory- Part of
- Bristol Hospice LLC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434067200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758672000000",
"number": "1386025583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 N 2100 W STE 202",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841164741",
"telephone_number": "801-325-0175",
"fax_number": "801-478-3533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35400 BOB HOPE DR STE 213",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "922701774",
"telephone_number": "760-832-6056",
"fax_number": "760-832-6124"
}
],
"practiceLocations": [
{
"address_1": "1180 N Indian Canyon Dr",
"address_2": "SUITE E420",
"address_purpose": "LOCATION",
"city": "Palm Springs",
"state": "CA",
"postal_code": "922624800",
"country_code": "US",
"telephone_number": "909-234-5126",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "BRISTOL HOSPICE - COACHELLA VALLEY, L.L.C.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BRISTOL HOSPICE, L.L.C.",
"enumeration_date": "2015-06-12",
"last_updated": "2025-09-24",
"certification_date": "2025-09-24",
"status": "A",
"authorized_official_last_name": "MAURICIO",
"authorized_official_first_name": "ALEX",
"authorized_official_title_or_position": "PRESIDENT & CEO",
"authorized_official_telephone_number": "801-325-0175",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "0000",
"identifier": "1386025583",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Destiny Hospice of the Desert",
"code": "4",
"type": "Former Legal Business Name"
},
{
"organization_name": "Destiny Hospice of the Desert",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Rancho Mirage, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.