Organization Active NPI

Gerinet Palliative Care, LLC

Doing business as Bristol Hospice - Tucson

  • Community Based Hospice Care Agency
  • Tucson, AZ
National Provider Identifier
1053625848
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
GERINET PALLIATIVE CARE, LLC
Doing business as
Bristol Hospice - Tucson
Gerinet Healthcare
Remita Health
Practice address
5210 E Williams Cir Ste 530
Tucson, AZ 85711-4459
Phone
(520) 300-9337
Fax
(520) 829-4428
NPI assigned
Aug 4, 2010
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 E Mauricio
Title
President & Ceo
Phone
(801) 325-0175

Specialties & licenses 1

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

Addresses

Primary practice location

5210 E Williams Cir Ste 530
Tucson, AZ 85711-4459

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
756115MedicaidAZ

Other names 3

  • Bristol Hospice - Tucson Doing business as
  • Gerinet Healthcare Doing business as
  • Remita Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100812000011 AZ Part A Provider - Hospice 1759415813 Practice locations: Tucson, AZ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1053625848. Details of each certification follow.

Hospice certification: CCN 031605

Legal name
GERINET PALLIATIVE CARE LLC
Doing business as
BRISTOL HOSPICE - TUCSON
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jun 12, 2012
Last certification
Feb 11, 2021
Ownership / control type
Proprietary - Other
Organization structure
LLCProprietary
Incorporated
May 30, 2007 in AZ
Enrollment address
5210 E Williams Cir
Ste 530
Tucson, AZ 85711-4459

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospice

Medicare Care Compare
Listed as
Bristol Hospice - TucsonCCN 031605 · All quality measures
Ownership
For-Profit
Certified
Jun 12, 2012
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
03D2035573Gerinet Palliative Care, LLC5210 W Williams Cir Ste 530, Tucson, AZ 85711Certificate of waiverJan 19, 2028

National Provider Directory

National Provider Directory
Tax ID family
Gerinet Palliative Care LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

5210 E Williams Cir
Ste 530
Tucson, AZ 85711
Phone (520) 300-9337

6375 E Tanque Verde Rd
Ste 170
Tucson, AZ 85715
Phone (520) 300-9337

711 Brookway Blvd
#B
Brookhaven, MS 39601
Phone (601) 691-9220

Ownership & related parties

All disclosed owners & managing parties 18

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

NameRoleSinceShare
Bristol Hospice Holdings Inc Organization, Salt Lake City, UT Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Sep 3, 2020
Alex Edward Mauricio Individual Corporate OfficerPresident Ceo Sep 1, 2023
Corporate DirectorDirector Jan 1, 2023
Webster Equity Partners Bristol CF LP Organization, Waltham, MA For-profit, Private equity company 5% Or Greater Indirect Ownership Interest Jan 25, 2022 69.8%
John Charles Garbarino Individual Corporate OfficerSecretary/Treasurer Sep 3, 2022
Corporate DirectorDirector Oct 26, 2020
Webster Equity Partners IV Bristol CF LP Organization, Waltham, MA For-profit, Private equity company 5% Or Greater Indirect Ownership Interest Jan 25, 2022 5.72%
Michael Derrick Individual Corporate OfficerCfo Sep 1, 2023
Betty J Brennan Individual Corporate DirectorDirector Jul 13, 2018
Gerinet Physician Services, Inc. Organization, Lakewood, CA Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Nov 14, 2011 50%
Health Essentials Holdings Inc. Organization, Salt Lake City, UT Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Nov 14, 2011 100%
Bristol Ultimate Holdco, LP Organization, Salt Lake City, UT Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jan 25, 2022 100%
Ahmad a Shir Individual Contracted Managing EmployeeMedical Director Oct 1, 2023
Hyrum Kirton Individual Corporate DirectorDirector Oct 26, 2020
Aware Super Pty, LTD. Organization, Sydney, IN LLC, Investment firm, For-profit 5% Or Greater Indirect Ownership Interest Jan 24, 2022 8.28%
Bristol Hospice, L.L.C. Organization, Salt Lake City, UT LLC, Holding company, For-profit, Chain home office, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Sep 3, 2020 100%
Jeannie Z Bacco Individual W-2 Managing EmployeeAd; Sep 3, 2020
Bristol Hospice Topco Inc Organization, Salt Lake City, UT Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Sep 3, 2020 100%
Health Essentials Acquisition Corp Organization, Salt Lake City, UT Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Nov 14, 2011 50%
David a Malm Individual Corporate OfficerVice President Sep 3, 2022
Corporate DirectorDirector Oct 26, 2020

Owners & managing parties with NPI records 3

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.

View all 52

Practitioners & affiliated clinicians

Affiliated clinicians 4

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": "1280880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758672000000",
    "number": "1053625848",
    "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",
            "fax_number": "801-478-3588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5210 E WILLIAMS CIR STE 530",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857114459",
            "telephone_number": "520-300-9337",
            "fax_number": "520-829-4428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERINET PALLIATIVE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-04",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A",
        "authorized_official_last_name": "MAURICIO",
        "authorized_official_first_name": "ALEX",
        "authorized_official_middle_name": "E",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "756115",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bristol Hospice - Tucson",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Gerinet Healthcare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Remita Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Remita Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.