NPI 1730057084 · live from the CMS NPI Registry
Bristol Hospice - Michigan, LLC
Hospice Care, Community Based in Clinton Township, MI. National Provider Identifier 1730057084, active.
NPI record
| NPI | 1730057084 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Hospice Care, Community Based 251G00000X |
| Practice location | 37450 Garfield Rd Ste 250, Clinton Township, MI 48036 |
| Practice phone | 801-325-0175 |
| Mailing address | 206 N 2100 W Ste 202, Salt Lake City, UT 84116 |
| Enumerated | October 28, 2025 |
| Last updated | October 28, 2025 |
| 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.