Bristol Hospice - Indiana, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

BRISTOL HOSPICE - INDIANA, LLC

Practice address

6411 S East St
Suite 6411a
Indianapolis, IN 46277-2736

Phone

(317) 699-7729

Fax

(317) 449-9050

NPI assigned

Jan 8, 2026

Last updated

Jan 8, 2026By the provider in NPPES

Organization subpart

No

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

Addresses

Tax ID family

Bristol Hospice - Indiana LLC3 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.

• Bristol Hospice - Indiana LLC

  • Community Based Hospice Care Agency
  • New Albany, IN
  • NPI 1407746456
  NPD tax ID
• Bristol Hospice - Indiana LLC

  • Community Based Hospice Care Agency
  • Merrillville, IN
  • NPI 1417803545
  NPD tax ID

Locations

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

{
    "created_epoch": "1767830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767830400000",
    "number": "1457218505",
    "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": "317-449-9050",
            "fax_number": "317-699-7729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6411 S EAST ST",
            "address_2": "SUITE 6411A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462772736",
            "telephone_number": "317-699-7729",
            "fax_number": "317-449-9050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRISTOL HOSPICE - INDIANA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-08",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "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": []
}

• Hillary Ann Brinson, M.A., CCC-SLP
• Lorie Goodpaster Brinson, DDS
• Milton Andrew Brinza II
• Teresita Briones-Ramilo, M.D.
• Allison S Briskin
• Jaime Allison Bristow, NP
• Megan Britnell, WRAPAROUND
• Sara Brito, OT
• Carly Britt, BCBA
• Jayna Britt

• Community Based Hospice Care Agency in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Community Based Hospice Care Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2026; 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.