Bristol Hospice - Chicago, L.L.C.
NPI 1104548478ActiveOrganization· Hospice Care, Community Based· Des Plaines, IL
Hospice Care, Community Based in Des Plaines, Illinois, registered in NPPES in September 2022, part of Bristol Hospice, L.L.C. The authorized official on file is Alex Mauricio, President. Enrolled in Medicare as part a provider - hospice and part b supplier - clinic/group practice.
Overview
| NPI | 1104548478 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Bristol Hospice, L.L.C. |
| NPI issued | Sep 14, 2022 |
| Last updated in NPPES | Sep 16, 2026 |
| Certified by provider | Sep 16, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Hospice Care, Community Based Primary | 251G00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Hospice (IL); Part B Supplier - Clinic/Group Practice (IL) |
|---|
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