Bristol Hospice - Green Bay, L.L.C.
NPI 1356928154ActiveOrganization· Hospice Care, Community Based· Green Bay, WI
Hospice Care, Community Based in Green Bay, Wisconsin, registered in NPPES in March 2021, part of Bristol Hospice, L.L.C. The authorized official on file is Alex Mauricio, President And Ceo. Enrolled in Medicare as part a provider - hospice.
Overview
| NPI | 1356928154 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Bristol Hospice, L.L.C. |
| NPI issued | Mar 26, 2021 |
| Last updated in NPPES | Feb 27, 2026 |
| Certified by provider | Feb 27, 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 (WI) |
|---|
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