NPI 1689538787

Bristol Hospice Fairfax LLC

Organisation Community Based Hospice Care Agency Fairfax, VA

Practice location

Address: 12011 Route 50 STE 510, Fairfax, VA 22033-3315
Phone: (703) 977-9005
Mailing address: 206 N 2100 W STE 202, Salt Lake City, UT 84116-4741

Authorised official

Name: Alex Mauricio
Title: President & Ceo
Phone: (801) 325-0175

Registered specialties

Community Based Hospice Care Agency Primary

Agencies Taxonomy 251G00000X

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Registry record

NPI: 1689538787
Entity type: Organization
NPI issued: 12 Dec 2025
Record last updated: 26 Feb 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.