NPIMap

Organization Active NPI

Bristol Hospice - Inland Empire, LLC

Doing business as Bristol Hospice - Inland Empire

  • Community Based Hospice Care Agency
  • Riverside, CA
National Provider Identifier
1043683170
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
3820480 Issued in CA
Legal business name
BRISTOL HOSPICE - INLAND EMPIRE, LLC
Doing business as
Bristol Hospice - Inland Empire
Practice address
6296 River Crest Dr Ste L
Riverside, CA 92507-0738
Phone
(951) 308-6000
Fax
(951) 308-6009
NPI assigned
Nov 11, 2015
Last updated
Sep 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Alex Mauricio
Title
President Ceo
Phone
(801) 325-0175

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 3820480 CA Primary

Addresses

Primary practice location

6296 River Crest Dr Ste L
Riverside, CA 92507-0738

Mailing address

206 N 2100 W Ste 202
Salt Lake City, UT 84116-4741
Phone (801) 325-0175

Other identifiers 1

IdentifierTypeStateIssuer
1043683170MedicaidCA

Other names 2

  • Bristol Hospice - Inland Empire Doing business as
  • Destiny Hospice of Temecula, LLC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210323001791 CA Part A Provider - Hospice 9234546045 Practice locations: Riverside, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1043683170. Details of each certification follow.

Hospice certification: CCN A01582

Legal name
BRISTOL HOSPICE - INLAND EMPIRE, LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Feb 28, 2018
Last certification
Feb 28, 2018
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
May 4, 2020 in DE
Enrollment address
6296 River Crest Dr
Ste L
Riverside, CA 92507-0738

Care Compare: Hospice

Medicare Care Compare
Listed as
Bristol Hospice Inland Empire, LLCCCN A01582 · All quality measures
Ownership
For-Profit
Certified
Feb 28, 2018
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2122545Bristol Hospice- Inland Empire LLC6296 River Crest Dr Ste L, Riverside, CA 92507Certificate of waiverNov 29, 2026

National Provider Directory

National Provider Directory

Locations

27919 Jefferson Ave
Ste 110
Temecula, CA 92590
Phone (909) 234-5126

Ownership & related parties

All disclosed owners & managing parties 13

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Wesley Rogers Individual W-2 Managing EmployeeAd; Sep 28, 2022
Bristol Hospice Holdings Inc Organization, Salt Lake City, UT Corporation, Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 19, 2021 100%
Alex Edward Mauricio Individual Corporate OfficerPresident & Ceo Jun 1, 2022
Operational/Managerial ControlPresident & Ceo Jun 1, 2022
Webster Equity Partners Bristol CF LP Organization, Waltham, MA Investment firm 5% Or Greater Indirect Ownership Interest Jan 20, 2022 69.8%
John Charles Garbarino Individual Corporate OfficerSecretary/Treasurer Feb 19, 2021
Corporate DirectorDirector Feb 19, 2021
Webster Equity Partners IV Bristol CF LP Organization, Waltham, MA Investment firm 5% Or Greater Indirect Ownership Interest Jan 20, 2022 5.72%
Michael Derrick Individual Corporate OfficerCfo Sep 1, 2023
Bristol Ultimate Holdco, LP Organization, Salt Lake City, UT Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jan 20, 2022 100%
Aware Super Pty, LTD. Organization, Sydney, IN LLC, Investment firm 5% Or Greater Indirect Ownership Interest Jan 24, 2022 8.28%
Ahmed El Bershawi Individual Contracted Managing EmployeeMedical Director Oct 1, 2023
Bristol Hospice, L.L.C. Organization, Salt Lake City, UT LLC, Chain home office, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jun 9, 2020 100%
Bristol Hospice Topco Inc Organization, Salt Lake City, UT Corporation, Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 19, 2021 100%
David a Malm Individual Corporate OfficerVP Feb 19, 2021
Corporate DirectorDirector Feb 19, 2021

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 52

Facilities that share an organizational owner with 5% or greater ownership or operational control.

  • Bristol Hospice - California, LLC
    • Community Based Hospice Care Agency
    • Merced, CA
    • NPI 1487603452

    Aware Super Pty, LTD., Bristol Hospice Holdings Inc, Bristol Hospice Topco Inc, Bristol Hospice, L.L.C., Bristol Ultimate Holdco, LP, Webster Equity Partners Bristol CF LP, Webster Equity Partners IV Bristol CF LP

    CMS ownership
  • Bristol Hospice - Inland Valley, L.L.C.

    dba All Saints Hospice, Inc.

    • Community Based Hospice Care Agency
    • Ontario, CA
    • NPI 1013318112

    Aware Super Pty, LTD., Bristol Hospice Holdings Inc, Bristol Hospice Topco Inc, Bristol Hospice, L.L.C., Bristol Ultimate Holdco, LP, Webster Equity Partners Bristol CF LP, Webster Equity Partners IV Bristol CF LP

    CMS ownership
  • Bristol Hospice - Sacramento, LLC
    • Community Based Hospice Care Agency
    • Roseville, CA
    • NPI 1235331828

    Aware Super Pty, LTD., Bristol Hospice Holdings Inc, Bristol Hospice Topco Inc, Bristol Hospice, L.L.C., Bristol Ultimate Holdco, LP, Webster Equity Partners Bristol CF LP, Webster Equity Partners IV Bristol CF LP

    CMS ownership
  • Gerinet Physician Services, Inc.

    dba Bristol Hospice

    • Community Based Hospice Care Agency
    • Glendale, CA
    • NPI 1043449291

    Aware Super Pty, LTD., Bristol Hospice Holdings Inc, Bristol Hospice Topco Inc, Bristol Hospice, L.L.C., Bristol Ultimate Holdco, LP, Webster Equity Partners Bristol CF LP, Webster Equity Partners IV Bristol CF LP

    CMS ownership
  • Gerinet Physician Services, Inc.

    dba Bristol Hospice - Greater Los Angeles

    • Community Based Hospice Care Agency
    • Lakewood, CA
    • NPI 1548217011

    Aware Super Pty, LTD., Bristol Hospice Holdings Inc, Bristol Hospice Topco Inc, Bristol Hospice, L.L.C., Bristol Ultimate Holdco, LP, Webster Equity Partners Bristol CF LP, Webster Equity Partners IV Bristol CF LP

    CMS ownership
  • Hospice Touch, Inc.

    dba Bristol Hospice - Orange County

    • Community Based Hospice Care Agency
    • Costa Mesa, CA
    • NPI 1497758593

    Aware Super Pty, LTD., Bristol Hospice Holdings Inc, Bristol Hospice Topco Inc, Bristol Hospice, L.L.C., Bristol Ultimate Holdco, LP, Webster Equity Partners Bristol CF LP, Webster Equity Partners IV Bristol CF LP

    CMS ownership
  • Optimal Hospice, Inc.

    dba Bristol Hospice - Fresno

    • Community Based Hospice Care Agency
    • Fresno, CA
    • NPI 1164590089

    Aware Super Pty, LTD., Bristol Hospice Holdings Inc, Bristol Hospice Topco Inc, Bristol Hospice, L.L.C., Bristol Ultimate Holdco, LP, Webster Equity Partners Bristol CF LP, Webster Equity Partners IV Bristol CF LP

    CMS ownership
  • Optimal Hospice, Inc.

    dba Bristol Hospice - Bakersfield

    • Community Based Hospice Care Agency
    • Bakersfield, CA
    • NPI 1396726493

    Aware Super Pty, LTD., Bristol Hospice Holdings Inc, Bristol Hospice Topco Inc, Bristol Hospice, L.L.C., Bristol Ultimate Holdco, LP, Webster Equity Partners Bristol CF LP, Webster Equity Partners IV Bristol CF LP

    CMS ownership
  • Optimal Hospice, Inc.

    dba Bristol Hospice - Lancaster

    • Community Based Hospice Care Agency
    • Lancaster, CA
    • NPI 1689181323

    Aware Super Pty, LTD., Bristol Hospice Holdings Inc, Bristol Hospice Topco Inc, Bristol Hospice, L.L.C., Bristol Ultimate Holdco, LP, Webster Equity Partners Bristol CF LP, Webster Equity Partners IV Bristol CF LP

    CMS ownership
  • Optimal Hospice, Inc.

    dba Bristol Hospice - Stockton

    • Community Based Hospice Care Agency
    • Stockton, CA
    • NPI 1821166745

    Aware Super Pty, LTD., Bristol Hospice Holdings Inc, Bristol Hospice Topco Inc, Bristol Hospice, L.L.C., Bristol Ultimate Holdco, LP, Webster Equity Partners Bristol CF LP, Webster Equity Partners IV Bristol CF LP

    CMS ownership
  • Sojourn Hospice & Palliative Care - Redding, LLC.

    dba Bristol Hospice-Redding

    • Community Based Hospice Care Agency
    • Redding, CA
    • NPI 1972918753

    Aware Super Pty, LTD., Bristol Hospice Holdings Inc, Bristol Hospice Topco Inc, Bristol Hospice, L.L.C., Bristol Ultimate Holdco, LP, Webster Equity Partners Bristol CF LP, Webster Equity Partners IV Bristol CF LP

    CMS ownership
  • Sojourn Hospice & Palliative Care - San Diego LLC

    dba Bristol Hospice - San Diego

    • Community Based Hospice Care Agency
    • San Diego, CA
    • NPI 1659781045

    Aware Super Pty, LTD., Bristol Hospice Holdings Inc, Bristol Hospice Topco Inc, Bristol Hospice, L.L.C., Bristol Ultimate Holdco, LP, Webster Equity Partners Bristol CF LP, Webster Equity Partners IV Bristol CF LP

    CMS ownership
View all 52

Change-of-ownership history 2

DateEventCounterparty
Feb 19, 2021 Change of OwnershipThis provider was the buyer Destiny Hospice of TemeculaCCN A01582, CA, NPI 1043683170
Feb 19, 2021 Change of OwnershipThis provider was the seller Bristol Hospice - Inland Empire, LLCCCN A01582, CA, NPI 1043683170

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1447200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758672000000",
    "number": "1043683170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 N 2100 W STE 202",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841164741",
            "telephone_number": "801-325-0175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6296 RIVER CREST DR STE L",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925070738",
            "telephone_number": "951-308-6000",
            "fax_number": "951-308-6009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRISTOL HOSPICE - INLAND EMPIRE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-11",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A",
        "authorized_official_last_name": "MAURICIO",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "801-325-0175",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CA",
            "license": "3820480",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1043683170",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bristol Hospice - Inland Empire",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Destiny Hospice of Temecula, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Destiny Hospice of Temecula, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.