OrganizationActive
Bristol Hospice Fairfax LLC
NPI 1689538787 · Community Based Hospice Care Agency · Fairfax, VA
Provider details
- NPI number
- 1689538787
- Entity type
- Organization
- Primary specialty
- Community Based Hospice Care AgencyAgencies
- Organization subpart
- No
- Authorized official
- Alex Mauricio, President & Ceo(801) 325-0175
Specialties & taxonomies
Agencies
Practice location
12011 Route 50 Ste 510
Fairfax, VA 22033-3315
Phone: (703) 977-9005
Approximate (ZIP-level) locationGet directions
Mailing address
206 N 2100 W Ste 202
Salt Lake City, UT 84116-4741
Registry dates
- Enumerated
- 2025-12-12
- Last updated
- 2026-02-26
- Certified
- 2026-02-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.