St. Agatha Comfort Care LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

ST. AGATHA COMFORT CARE LLC

Practice address

11145 S Eastern Ave Ste 140
Henderson, NV 89052-4392

Phone

(702) 413-7285

Fax

(702) 413-7284

NPI assigned

Jan 31, 2022

Organization subpart

No

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 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1871246850. Details of each certification follow.

• CCN 291634 Hospice · Active · Details

Hospice certification: CCN 291634

Legal name

ST. AGATHA COMFORT CARE LLC

Doing business as

BRISTOL HOSPICE - LAS VEGAS

Certification status

Active

Provider type (POS)

Hospice

Participating since

Feb 6, 2023

Last certification

Jan 20, 2023

Organization structure

LLCProprietary

Incorporated

Nov 18, 2019 in NV

Enrollment address

11145 S Eastern Ave
Ste 140
Henderson, NV 89052-4392

Listed as

Bristol Hospice - Las VegasCCN 291634 · All quality measures

Certified

Feb 6, 2023

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Locations

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.

Owners & managing parties with NPI records 1

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

• Kovin Huynh, D.O.

  • Internal Medicine Physician
  • Henderson, NV
  • NPI 1841601747

  Contracted Managing Employee

  CMS ownership

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 - Hawaii, LLC

  dba Bristol Healthcare Services

  • Community Based Hospice Care Agency
  • Honolulu, HI
  • NPI 1811045594

  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

Affiliated clinicians 2

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

• Dyllen Grossman, D.O.

  • Internal Medicine Physician
  • Henderson, NV
  • NPI 1467802082

  Hospice

  Care Compare affiliation
• Kovin Huynh, D.O.

  • Internal Medicine Physician
  • Henderson, NV
  • NPI 1841601747

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1643587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772928000000",
    "number": "1871246850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11145 S EASTERN AVE STE 140",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524392",
            "telephone_number": "702-413-7285",
            "fax_number": "702-413-7284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11145 S EASTERN AVE STE 140",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524392",
            "telephone_number": "702-413-7285",
            "fax_number": "702-413-7284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. AGATHA COMFORT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-31",
        "last_updated": "2026-03-08",
        "certification_date": "2026-03-08",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "EHRVendor",
            "affiliation": "N",
            "endpointDescription": "HospiceMD",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "11145 S Eastern Ave Ste 140",
            "city": "Henderson",
            "state": "NV",
            "country_code": "US",
            "postal_code": "890524392",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Community Based Hospice Care Agency in Henderson, NV
• Providers in Henderson, NV by specialty
• Community Based Hospice Care Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2026; 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.

Verify at the official NPI Registry.