NPIMap

Organization Active NPI

Bristol Hospice - Hawaii, LLC

Doing business as Bristol Healthcare Services

  • Community Based Hospice Care Agency
  • Honolulu, HI
National Provider Identifier
1811045594
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
NEW START UP Issued in NU
Legal business name
BRISTOL HOSPICE - HAWAII, LLC
Doing business as
Bristol Healthcare Services
Practice address
55 Merchant St Ste 2900
Honolulu, HI 96813-4384
Phone
(808) 536-8012
Fax
(808) 536-8013
NPI assigned
Jan 8, 2007
Last updated
Sep 16, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
BRISTOL HOSPICE, L.L.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 16, 2026

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

Authorized official

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

Specialties & licenses 2

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

Addresses

Primary practice location

55 Merchant St Ste 2900
Honolulu, HI 96813-4384

Mailing address

206 N 2100 W Ste 202
Salt Lake City, UT 84116-4741
Phone (018) 325-0175

Other identifiers 1

IdentifierTypeStateIssuer
597312MedicaidHI

Other names 1

  • Bristol Healthcare Services Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070212000723 HI Part A Provider - Hospice 2769484203 Practice locations: Honolulu, HI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1811045594. Details of each certification follow.

Hospice certification: CCN 121508

Legal name
BRISTOL HOSPICE - HAWAII, L.L.C.
Certification status
Active
Provider type (POS)
Hospice
Participating since
Aug 10, 2007
Last certification
Nov 19, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
Aug 10, 2007 in UT
Enrollment address
55 Merchant St
Ste 2900
Honolulu, HI 96813-4384

Care Compare: Hospice

Medicare Care Compare
Listed as
Bristol Hospice - Hawaii, LLCCCN 121508 · All quality measures
Ownership
For-Profit
Certified
Aug 10, 2007
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
12D2290195Bristol Hospice-Hawaii, LLC55 Merchant Street, Suite 2900, Honolulu, HI 96813Certificate of waiverSep 20, 2027

National Provider Directory

National Provider Directory
Part of
Bristol Hospice LLC

Locations

1100 Ward Ave
#702
Honolulu, HI 96814
Phone (808) 536-8012

1100 Ward Ave
Ste 720
Honolulu, HI 96814
Phone (808) 536-8012

500 Ala Moana Blvd
Ste 4545
Honolulu, HI 96813
Phone (808) 536-8012

55 Merchant St
Ste 2900
Honolulu, HI 96813
Phone (808) 536-8012

206 N 2100 W
Ste 200
Slc, UT 84116

Ownership & related parties

All disclosed owners & managing parties 15

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 Dec 1, 2017 100%
Alex Edward Mauricio Individual Corporate OfficerPresident Ceo Jan 1, 2023
Corporate DirectorDirector Jan 1, 2023
Webster Equity Partners Bristol CF LP Organization, Salt Lake City, UT For-profit, Private equity company 5% Or Greater Indirect Ownership Interest Sep 1, 2023 69.8%
John Charles Garbarino Individual Corporate OfficerTreasurer Feb 27, 2019
Corporate DirectorDirector Feb 27, 2019
Mary Joy Balicao Gano Individual W-2 Managing EmployeeAd; Jan 7, 2026
Webster Equity Partners IV Bristol CF LP Organization, Salt Lake City, UT For-profit, Private equity company 5% Or Greater Indirect Ownership Interest Sep 1, 2023 5.72%
Michael Derrick Individual Corporate OfficerCfo Sep 1, 2023
Betty J Brennan Individual Corporate DirectorDirector Jul 13, 2018
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 Sep 1, 2023 100%
Baron C K W Wong Individual Contracted Managing EmployeeMedical Director Dec 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 Direct Ownership Interest Oct 12, 2005 100%
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 Dec 1, 2017 100%
David a Malm Individual Corporate OfficerVice President Feb 27, 2019
Corporate DirectorDirector Feb 27, 2019

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 - Bangor, LLC
    • Community Based Hospice Care Agency
    • Bangor, ME
    • NPI 1336916469

    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 - Bend, L.L.C.
    • Community Based Hospice Care Agency
    • Bend, OR
    • NPI 1356916845

    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 - Blue Bell, LLC
    • Community Based Hospice Care Agency
    • Plymouth Meeting, PA
    • NPI 1356118467

    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 - 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 - Charleston, LLC
    • 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

    CMS ownership
  • Bristol Hospice - Chicago, L.L.C.
    • Community Based Hospice Care Agency
    • Des Plaines, IL
    • NPI 1104548478

    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 - Eugene, LLC
    • Community Based Hospice Care Agency
    • Springfield, OR
    • NPI 1568962033

    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 - Georgia LLC
    • Community Based Hospice Care Agency
    • Atlanta, GA
    • NPI 1558663872

    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 - Green Bay, L.L.C.
    • Community Based Hospice Care Agency
    • Green Bay, WI
    • NPI 1356928154

    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 Empire, LLC

    dba Bristol Hospice - Inland Empire

    • Community Based Hospice Care Agency
    • Riverside, CA
    • NPI 1043683170

    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 - Madison, L.L.C.
    • Community Based Hospice Care Agency
    • Madison, WI
    • NPI 1992382733

    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

Practitioners & affiliated clinicians

Affiliated clinicians 154

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

View all 154

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789516800000",
    "number": "1811045594",
    "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": "018-325-0175",
            "fax_number": "801-478-3588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 MERCHANT ST STE 2900",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968134384",
            "telephone_number": "808-536-8012",
            "fax_number": "808-536-8013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRISTOL HOSPICE - HAWAII, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BRISTOL HOSPICE, L.L.C.",
        "enumeration_date": "2007-01-08",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "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"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": "NEW START UP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "597312",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bristol Healthcare Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.