NPI 1356928154 · live from the CMS NPI Registry
Bristol Hospice - Green Bay, L.L.C.
Hospice Care, Community Based in Green Bay, WI. National Provider Identifier 1356928154, active.
NPI record
| NPI | 1356928154 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Hospice Care, Community Based 251G00000X |
| Practice location | 2450 Velp Ave Ste 101, Green Bay, WI 54303 |
| Practice phone | 920-278-2499 |
| Mailing address | 206 N 2100 W Ste 202, Salt Lake City, UT 84116 |
| Enumerated | March 26, 2021 |
| Last updated | February 27, 2026 |
| Authorized official | Alex Mauricio, President And Ceo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Hospice Care, Community Based primary | 251G00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.