Active NPI
Inspiring Hospice Partners of Oregon LLC
Doing business as Bristol Hospice - Snohomish County
- Community Based Hospice Care Agency
- Lynnwood, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- INSPIRING HOSPICE PARTNERS OF OREGON LLC
- Doing business as
- Bristol Hospice - Snohomish County
- Practice address
- 2122 164TH St SW Ste 202&204
Lynnwood, WA 98087-7811 - Phone
- (425) 521-6939
- Fax
- (425) 364-5511
- NPI assigned
- Aug 14, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alex Mauricio
- Title
- President Ceo
- Phone
- (801) 325-0175
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
2122 164TH St SW Ste 202&204
Lynnwood, WA 98087-7811
Mailing address
206 N 2100 W Ste 202
Salt Lake City, UT 84116-4741
Phone (801) 325-0175
Other names 1
- Bristol Hospice - Snohomish County
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240906001797 | WA | Part A Provider - Hospice | 4981914660 | Practice locations: Everett, WA |
Hospice certification: CCN 501559
- Legal name
- INSPIRING HOSPICE PARTNERS OF OREGON LLC
- Doing business as
- BRISTOL HOSPICE - SNOHOMISH COUNTY
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Oct 11, 2024
- Last certification
- Oct 2, 2024
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- LLC
- Incorporated
- Sep 23, 2015 in OR
- Enrollment address
- 12625 4TH Ave W
Ste 203Ab
Everett, WA 98204-6427
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Bristol Hospice
- Community Based Hospice Care Agency
- Hood River, OR
- NPI 1942387154
4981914660
Care Compare: Hospice
Medicare Care Compare- Listed as
- Bristol Hospice - Snohomish County
- Certified
- Oct 11, 2024
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 50D2266023 | Bristol Hospice - Snohomish County | Certificate of waiver | Apr 4, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- Bristol Hospice
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Bristol Hospice
- Community Based Hospice Care Agency
- Hood River, OR
- NPI 1467909440
-
dba Bristol Hospice
- Community Based Hospice Care Agency
- Hood River, OR
- NPI 1942387154
Locations
1042 NW Norman Ave
Ste 212
Gresham, OR 97030
Phone (503) 925-3029
12625 4th Ave W
Ste 203AB
Everett, WA 98204
Phone (425) 521-6939
2122 164th St SW
Ste 202204
Lynnwood, WA 98087
Ownership & related parties
All disclosed owners & managing parties 15
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Bristol Hospice Holdings Inc | 5% Or Greater Indirect Ownership Interest | Aug 13, 2024 | 100% |
| Alex Edward Mauricio | Corporate Officer | Aug 13, 2024 | |
| Corporate Director | Jan 1, 2023 | ||
| Webster Equity Partners Bristol CF LP | 5% Or Greater Indirect Ownership Interest | Aug 13, 2024 | 69.8% |
| John Charles Garbarino | Corporate Officer | Aug 13, 2024 | |
| Corporate Director | Aug 13, 2024 | ||
| Webster Equity Partners IV Bristol CF LP | 5% Or Greater Indirect Ownership Interest | Aug 13, 2024 | 5.72% |
| Michael Derrick | Corporate Officer | Aug 13, 2024 | |
| Betty J Brennan | Corporate Director | Jul 13, 2018 | |
| Bristol Ultimate Holdco, LP | 5% Or Greater Indirect Ownership Interest | Aug 13, 2024 | 100% |
| Hyrum Kirton | Corporate Director | Oct 26, 2020 | |
| Aware Super Pty, LTD. | 5% Or Greater Indirect Ownership Interest | Jan 24, 2022 | 8.28% |
| Jordan Nagle | Contracted Managing Employee | Aug 13, 2024 | |
| Michelle Wise | W-2 Managing Employee | Aug 13, 2024 | |
| Bristol Hospice, L.L.C. | 5% Or Greater Direct Ownership Interest | Aug 13, 2024 | 100% |
| Bristol Hospice Topco Inc | 5% Or Greater Indirect Ownership Interest | Aug 13, 2024 | 100% |
| David a Malm | Corporate Officer | Aug 13, 2024 | |
| Corporate Director | Aug 13, 2024 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Medicine Physician
- White Salmon, WA
- NPI 1982012324
Contracted Managing Employee
Facilities with the same owner 52
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Community Based Hospice Care Agency
- Tacoma, WA
- NPI 1215689237
Aware Super Pty, LTD., Bristol Hospice Holdings Inc, Bristol Hospice Topco Inc, Bristol Hospice, L.L.C., Bristol Ultimate Holdco, LP, Webster Equity Partners Bristol CF LP, Webster Equity Partners IV Bristol CF LP
-
- Community Based Hospice Care Agency
- Bangor, ME
- NPI 1336916469
Aware Super Pty, LTD., Bristol Hospice Holdings Inc, Bristol Hospice Topco Inc, Bristol Hospice, L.L.C., Bristol Ultimate Holdco, LP, Webster Equity Partners Bristol CF LP, Webster Equity Partners IV Bristol CF LP
-
- Community Based Hospice Care Agency
- Bend, OR
- NPI 1356916845
Aware Super Pty, LTD., Bristol Hospice Holdings Inc, Bristol Hospice Topco Inc, Bristol Hospice, L.L.C., Bristol Ultimate Holdco, LP, Webster Equity Partners Bristol CF LP, Webster Equity Partners IV Bristol CF LP
-
- Community Based Hospice Care Agency
- Plymouth Meeting, PA
- NPI 1356118467
Aware Super Pty, LTD., Bristol Hospice Holdings Inc, Bristol Hospice Topco Inc, Bristol Hospice, L.L.C., Bristol Ultimate Holdco, LP, Webster Equity Partners Bristol CF LP, Webster Equity Partners IV Bristol CF LP
-
- Community Based Hospice Care Agency
- Merced, CA
- NPI 1487603452
Aware Super Pty, LTD., Bristol Hospice Holdings Inc, Bristol Hospice Topco Inc, Bristol Hospice, L.L.C., Bristol Ultimate Holdco, LP, Webster Equity Partners Bristol CF LP, Webster Equity Partners IV Bristol CF LP
-
- Community Based Hospice Care Agency
- North Charleston, SC
- NPI 1326866963
Bristol Hospice Holdings Inc, Bristol Hospice Topco Inc, Bristol Hospice, L.L.C., Bristol Ultimate Holdco, LP, Webster Equity Partners Bristol CF LP, Webster Equity Partners IV Bristol CF LP
-
- Community Based Hospice Care Agency
- Des Plaines, IL
- NPI 1104548478
Aware Super Pty, LTD., Bristol Hospice Holdings Inc, Bristol Hospice Topco Inc, Bristol Hospice, L.L.C., Bristol Ultimate Holdco, LP, Webster Equity Partners Bristol CF LP, Webster Equity Partners IV Bristol CF LP
-
- Community Based Hospice Care Agency
- Springfield, OR
- NPI 1568962033
Aware Super Pty, LTD., Bristol Hospice Holdings Inc, Bristol Hospice Topco Inc, Bristol Hospice, L.L.C., Bristol Ultimate Holdco, LP, Webster Equity Partners Bristol CF LP, Webster Equity Partners IV Bristol CF LP
-
- Community Based Hospice Care Agency
- Atlanta, GA
- NPI 1558663872
Aware Super Pty, LTD., Bristol Hospice Holdings Inc, Bristol Hospice Topco Inc, Bristol Hospice, L.L.C., Bristol Ultimate Holdco, LP, Webster Equity Partners Bristol CF LP, Webster Equity Partners IV Bristol CF LP
-
- Community Based Hospice Care Agency
- Green Bay, WI
- NPI 1356928154
Aware Super Pty, LTD., Bristol Hospice Holdings Inc, Bristol Hospice Topco Inc, Bristol Hospice, L.L.C., Bristol Ultimate Holdco, LP, Webster Equity Partners Bristol CF LP, Webster Equity Partners IV Bristol CF LP
-
dba Bristol Healthcare Services
- Community Based Hospice Care Agency
- Honolulu, HI
- NPI 1811045594
Aware Super Pty, LTD., Bristol Hospice Holdings Inc, Bristol Hospice Topco Inc, Bristol Hospice, L.L.C., Bristol Ultimate Holdco, LP, Webster Equity Partners Bristol CF LP, Webster Equity Partners IV Bristol CF LP
-
dba Bristol Hospice - Inland Empire
- Community Based Hospice Care Agency
- Riverside, CA
- NPI 1043683170
Aware Super Pty, LTD., Bristol Hospice Holdings Inc, Bristol Hospice Topco Inc, Bristol Hospice, L.L.C., Bristol Ultimate Holdco, LP, Webster Equity Partners Bristol CF LP, Webster Equity Partners IV Bristol CF LP
Practitioners & affiliated clinicians
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723593600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785974400000",
"number": "1386476950",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2122 164TH ST SW STE 202&204",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980877811",
"telephone_number": "425-521-6939",
"fax_number": "425-364-5511"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INSPIRING HOSPICE PARTNERS OF OREGON LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-14",
"last_updated": "2026-08-06",
"certification_date": "2026-08-06",
"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"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Bristol Hospice - Snohomish County",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lynnwood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.