Bristol Hospice - North Miami – Community Based Hospice Care Agency, NPI 1679011720
Community Based Hospice Care Agency
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Bristol Hospice - North Miami
14400 NW 77th Ct Ste 101
Miami Lakes, FL 330161590
Phone: (786) 607-4790
Fax: (786) 743-2250
Type: Location
206, 2100 West, Hall Acres, Salt Lake City, Salt Lake County, Utah, 84116, United States
SUITE 202
SALT LAKE CITY, UT 841164740
Phone: (801) 325-0175
Fax: (801) 478-3588
Type: Mailing
5201, Blue Lagoon Drive, Miami-Dade County, Florida, 33126, United States
SUITE 570
MIAMI, FL 331262064
Phone: (801) 656-2769
Fax: (501) 478-3588
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2018-02-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-12-31 (892 days ago).
Enrollment records
1
Earliest due date
2023-12-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20180207002643 | O | Hospice | FL | 2023-12-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33016)
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