Bristol Hospice-East Bay, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

BRISTOL HOSPICE-EAST BAY, LLC

Practice address

5820 Stoneridge Mall Rd Ste 209
Pleasanton, CA 94588-3200

Phone

(925) 400-9530

Fax

(415) 651-4996

NPI assigned

Apr 17, 2013

Organization subpart

Yes

Parent organization

BRISTOL HOSPICE LLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Hyrum Kirton

Title

VP/Cfo

Phone

(801) 656-2769

Specialties & licenses 1

Addresses

Part of

Bristol Hospice LLC

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1366156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572566400000",
    "number": "1386087609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 N 2100 W",
            "address_2": "202",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841164740",
            "telephone_number": "801-325-0175",
            "fax_number": "801-478-3568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5820 STONERIDGE MALL RD STE 209",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945883200",
            "telephone_number": "925-400-9530",
            "fax_number": "415-651-4996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRISTOL HOSPICE-EAST BAY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BRISTOL HOSPICE LLC",
        "enumeration_date": "2013-04-17",
        "last_updated": "2019-11-01",
        "status": "A",
        "authorized_official_last_name": "KIRTON",
        "authorized_official_first_name": "HYRUM",
        "authorized_official_title_or_position": "VP/CFO",
        "authorized_official_telephone_number": "801-656-2769",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa M Breuner, DPM
• Natalie Brewton, M.A.
• Khalil Brice, RN
• Destany Mari Briggs, GED
• Christine Joy Peralta Briones, SLPA LICENSE
• Hailey Brock
• Saveina Teaia Brooke
• Amy Savina Brooks, M.S. IN ED; ABA
• Eric Matthew Brooks, PTA
• Tanya Kofoed Brosnan, P.A.

• Community Based Hospice Care Agency in Pleasanton, CA
• Providers in Pleasanton, CA by specialty
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.