Active NPI
Bristol Hospice-Texas LLC
- Community Based Hospice Care Agency
- The Woodlands, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- BRISTOL HOSPICE-TEXAS LLC
- Practice address
- 2002 Timberloch PL
Suite 150
The Woodlands, TX 77380 - Phone
- (281) 419-4476
- Fax
- (281) 419-0525
- NPI assigned
- May 25, 2011
- Reactivated
- Sep 21, 2018
- Organization subpart
- Yes
- Parent organization
- BRISTOL HOSPICE, L.L.C.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alex E Mauricio
- Title
- President Ceo
- Phone
- (801) 325-0175
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
2002 Timberloch PL
Suite 150
The Woodlands, TX 77380
Mailing address
206 N 2100 W
Suite 202
Salt Lake City, UT 84116-4740
Phone (801) 325-0146
Other practice location 1
8140 N Mopac Expy Ste 130
Austin, TX 78759-8837
Phone (737) 304-0760
Other practice location 2
455 E Medical Center Blvd Ste 275
Webster, TX 77598-4389
Phone (281) 752-6670
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1020608 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111031000131 | TX | Part A Provider - Hospice | 4284807637 | Practice locations: Austin, TX; Webster, TX; The Woodlands, TX |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1649563552. Details of each certification follow.
Hospice certification: CCN 671708
- Legal name
- BRISTOL HOSPICE-TEXAS, LLC
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Feb 6, 2012
- Last certification
- Oct 15, 2020
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- LLC
- Incorporated
- Mar 15, 2011 in UT
- Enrollment address
- 2002 Timberloch Place
Suite 150
The Woodlands, TX 77380-1198
Care Compare: Hospice
Medicare Care Compare- Listed as
- Bristol Hospice - Texas, LLC
- Ownership
- For-Profit
- Certified
- Feb 6, 2012
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2028944 | Bristol Hospice - Texas, LLC | Certificate of waiver | Aug 25, 2027 |
| 45D2310669 | Bristol Hospice - Texas LLC | Certificate of waiver | Sep 8, 2026 |
National Provider Directory
National Provider Directory- Part of
- Bristol Hospice LLC
Locations
8140 N Mopac Expy
Ste 130
Austin, TX 78759
Phone (512) 763-0330
2002 Timberloch Pl
Ste 150
The Woodlands, TX 77380
Phone (281) 419-4476
455 E Medical Center Blvd
Ste 275
Webster, TX 77598
Phone (281) 752-6670
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Bristol Hospice Holdings Inc | 5% Or Greater Indirect Ownership Interest | Dec 1, 2017 | 100% |
| Alex Edward Mauricio | Corporate Officer | Jul 1, 2022 | 100% |
| Operational/Managerial Control | Jul 1, 2022 | 100% | |
| Webster Equity Partners Bristol CF LP | 5% Or Greater Indirect Ownership Interest | Jan 20, 2022 | 76.82% |
| Hemalatha Yaramada | Contracted Managing Employee | Mar 1, 2024 | |
| John Charles Garbarino | Corporate Officer | Jul 1, 2022 | 100% |
| Webster Equity Partners IV Bristol CF LP | 5% Or Greater Indirect Ownership Interest | Jan 20, 2022 | 6.43% |
| Michael Derrick | Corporate Officer | Sep 1, 2023 | 100% |
| Norman Davis | W-2 Managing Employee | Mar 16, 2020 | 100% |
| Bristol Ultimate Holdco, LP | 5% Or Greater Indirect Ownership Interest | Jan 20, 2022 | 100% |
| Bristol Hospice and Homecare - South Central LLC | 5% Or Greater Direct Ownership Interest | Dec 2, 2013 | 100% |
| Bristol Hospice, L.L.C. | 5% Or Greater Indirect Ownership Interest | Feb 6, 2012 | 100% |
| Bristol Hospice Topco Inc | 5% Or Greater Indirect Ownership Interest | Dec 1, 2017 | 100% |
| David a Malm | Corporate Officer | Jul 1, 2022 | 100% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Medicine Physician
- Shenandoah, TX
- NPI 1982860821
Contracted Managing Employee
Facilities with the same owner 52
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Bristol Hospice - North Central Texas
- Community Based Hospice Care Agency
- Waxahachie, TX
- NPI 1568710358
Bristol Hospice and Homecare - South Central LLC, 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
-
dba Bristol Hospice - Dallas
- Community Based Hospice Care Agency
- Addison, TX
- NPI 1952505240
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
-
- Community Based Hospice Care Agency
- Bangor, ME
- NPI 1336916469
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
-
- Community Based Hospice Care Agency
- Bend, OR
- NPI 1356916845
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
-
- Community Based Hospice Care Agency
- Plymouth Meeting, PA
- NPI 1356118467
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
-
- Community Based Hospice Care Agency
- Merced, CA
- NPI 1487603452
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
-
- Community Based Hospice Care Agency
- North Charleston, SC
- NPI 1326866963
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
-
- Community Based Hospice Care Agency
- Des Plaines, IL
- NPI 1104548478
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
-
- Community Based Hospice Care Agency
- Springfield, OR
- NPI 1568962033
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
-
- Community Based Hospice Care Agency
- Atlanta, GA
- NPI 1558663872
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
-
- Community Based Hospice Care Agency
- Green Bay, WI
- NPI 1356928154
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
-
dba Bristol Healthcare Services
- Community Based Hospice Care Agency
- Honolulu, HI
- NPI 1811045594
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
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Family Medicine Physician
- Houston, TX
- NPI 1235208653
Affiliated clinicians 8
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": "1306281600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1729814400000",
"number": "1649563552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 N 2100 W",
"address_2": "SUITE 202",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841164740",
"telephone_number": "801-325-0146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2002 TIMBERLOCH PL",
"address_2": "SUITE 150",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "77380",
"telephone_number": "281-419-4476",
"fax_number": "281-419-0525"
}
],
"practiceLocations": [
{
"address_1": "8140 N Mopac Expy Ste 130",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "TX",
"postal_code": "787598837",
"country_code": "US",
"telephone_number": "737-304-0760",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "455 E Medical Center Blvd Ste 275",
"address_purpose": "LOCATION",
"city": "Webster",
"state": "TX",
"postal_code": "775984389",
"country_code": "US",
"telephone_number": "281-752-6670",
"fax_number": "281-768-8902",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "BRISTOL HOSPICE-TEXAS LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BRISTOL HOSPICE, L.L.C.",
"enumeration_date": "2011-05-25",
"last_updated": "2024-10-25",
"certification_date": "2024-10-25",
"deactivation_date": "2018-09-19",
"reactivation_date": "2018-09-21",
"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"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1020608",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in The Woodlands, TX
- Laura Brimer, MS, RD, LD
- Bringtherapy LLC
- Jessica Brinkley, PSYD
- Brinson BR Enterprises, Inc. (Homewatch CareGivers)
- Tamar F Brionez, MD
- Natalie Suarez Broadbent, D.C
- Broadmoor Continuing Care Center LTD. Co. (The Broadmoor at Creekside Park)
- Leslie Ann Brochhausen, LPTA
- Quinn Brockman
- Angela Raynell Brooks, M.A.,CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.