Organization Active NPI

Inspiring Hospice Partners of Oregon LLC

Doing business as Bristol Hospice - Snohomish County

  • Community Based Hospice Care Agency
  • Lynnwood, WA
National Provider Identifier
1386476950
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
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

Updated by the provider on Aug 6, 2026

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
LLCProprietary
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).

Care Compare: Hospice

Medicare Care Compare
Listed as
Bristol Hospice - Snohomish CountyCCN 501559 · All quality measures
Certified
Oct 11, 2024
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D2266023Bristol Hospice - Snohomish County2122 164TH St SW Ste 202 & 204, Lynnwood, WA 98087Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory
Tax ID family
Bristol Hospice3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

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.

NameRoleSinceShare
Bristol Hospice Holdings Inc Organization, Salt Lake City, UT Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Aug 13, 2024 100%
Alex Edward Mauricio Individual Corporate OfficerPresident and Ceo Aug 13, 2024
Corporate DirectorDirector Jan 1, 2023
Webster Equity Partners Bristol CF LP Organization, Waltham, MA Investment firm, For-profit 5% Or Greater Indirect Ownership Interest Aug 13, 2024 69.8%
John Charles Garbarino Individual Corporate OfficerSecretary/Treasurer Aug 13, 2024
Corporate DirectorDirector Aug 13, 2024
Webster Equity Partners IV Bristol CF LP Organization, Waltham, MA Investment firm, For-profit 5% Or Greater Indirect Ownership Interest Aug 13, 2024 5.72%
Michael Derrick Individual Corporate OfficerCfo Aug 13, 2024
Betty J Brennan Individual Corporate DirectorDirector Jul 13, 2018
Bristol Ultimate Holdco, LP Organization, Salt Lake City, UT Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Aug 13, 2024 100%
Hyrum Kirton Individual Corporate DirectorDirector Oct 26, 2020
Aware Super Pty, LTD. Organization, Sydney, IN LLC, Investment firm, For-profit 5% Or Greater Indirect Ownership Interest Jan 24, 2022 8.28%
Jordan Nagle Individual Contracted Managing EmployeeMD; Aug 13, 2024
Michelle Wise Individual W-2 Managing EmployeeAd; Aug 13, 2024
Bristol Hospice, L.L.C. Organization, Salt Lake City, UT LLC, For-profit, Chain home office, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Aug 13, 2024 100%
Bristol Hospice Topco Inc Organization, Salt Lake City, UT Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Aug 13, 2024 100%
David a Malm Individual Corporate OfficerVice President Aug 13, 2024
Corporate DirectorDirector 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.

Facilities with the same owner 52

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 52

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

Verify at the official NPI Registry.