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agency

MID DELTA HOSPICE NORTH, INC "DBA" BRISTOL HOSPIC

Southaven, MS

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CMS quality evidence by agency type

Process measure denominator
4 Source
Hospice average daily census
0 Source
Care Index period
01/01/2023-12/31/2024 Source

CMS enrollment and reported ownership

Enrolled legal organization
MID-DELTA HOSPICE NORTH, INC. Source
Enrolled DBA name
BRISTOL HOSPICE - SOUTHAVEN Source
Enrolled NPI
1184687725 Source
Organization structure
CORPORATION Source
Incorporation date and state
2004-09-29 (MS) Source
Enrollment proprietary status
Proprietary Source
CMS enrollment records
1 Source
Distinct reported owners
12 Source
Reported owner relationships
12 Source
Owner roles, dates, shares, and classifications
ALEX EDWARD MAURICIO [Individual; CMS owner ID 1254715485]; role: CORPORATE OFFICER; associated: 2024-06-20; ownership: 100%; PE: not reported; REIT: not reported, BRISTOL HOSPICE HOLDINGS INC [Organization; CMS owner ID 941569818]; role: 5% OR GREATER INDIRECT OWNERSHIP INTEREST; associated: 2024-06-20; ownership: 100%; PE: no; REIT: no, BRISTOL HOSPICE TOPCO INC [Organization; CMS owner ID 9032478904]; role: 5% OR GREATER INDIRECT OWNERSHIP INTEREST; associated: 2024-06-20; ownership: 100%; PE: no; REIT: no, BRISTOL HOSPICE, L.L.C. [Organization; CMS owner ID 7911910880]; role: 5% OR GREATER DIRECT OWNERSHIP INTEREST; associated: 2024-06-20; ownership: 100%; PE: no; REIT: no, BRISTOL ULTIMATE HOLDCO, LP [Organization; CMS owner ID 4981097581]; role: 5% OR GREATER INDIRECT OWNERSHIP INTEREST; associated: 2024-06-20; ownership: 100%; PE: no; REIT: no, DAVID A MALM [Individual; CMS owner ID 9537112990]; role: CORPORATE OFFICER; associated: 2024-06-20; ownership: 100%; PE: not reported; REIT: not reported, JAMI CANADY [Individual; CMS owner ID 3072889104]; role: W-2 MANAGING EMPLOYEE; associated: 2024-06-20; ownership: 0%; PE: not reported; REIT: not reported, JOHN CHARLES GARBARINO [Individual; CMS owner ID 2264607035]; role: CORPORATE OFFICER; associated: 2024-06-20; ownership: 100%; PE: not reported; REIT: not reported, MICHAEL DERRICK [Individual; CMS owner ID 3779937040]; role: CORPORATE OFFICER; associated: 2024-06-20; ownership: 100%; PE: not reported; REIT: not reported, RODERICK C GIVENS [Individual; CMS owner ID 345216180]; role: CONTRACTED MANAGING EMPLOYEE; associated: 2024-06-20; ownership: 0%; PE: not reported; REIT: not reported, WEBSTER EQUITY PARTNERS BRISTOL CF LP [Organization; CMS owner ID 1254724859]; role: 5% OR GREATER INDIRECT OWNERSHIP INTEREST; associated: 2024-06-20; ownership: 76.82%; PE: no; REIT: no, WEBSTER EQUITY PARTNERS IV BRISTOL CF LP [Organization; CMS owner ID 3072906676]; role: 5% OR GREATER INDIRECT OWNERSHIP INTEREST; associated: 2024-06-20; ownership: 6.43%; PE: no; REIT: no Source
Owners CMS marks as private equity
0 Source
Owners CMS marks as REITs
0 Source

CMS identity

Agency type
Hospice Source
Ownership type
For-Profit Source
Phone
(662) 399-2860 Source
CMS address
203-2 GOODMAN ROAD, SUITE 200 Source
ZIP code
38671 Source

Pricing

Market benchmarks

Average Medicare payment per hospice service day

$161.37

per hospice service day / Medicare payment divided by source utilization from CMS geographic totals

MS state benchmark / Hospice / Original Medicare fee-for-service beneficiaries in the CMS PAC public-use file

Current source Effective Fiscal year 2024 / Checked 2026-08-11

Weighted calculation from 1,927,814 hospice service days and 20,661 distinct beneficiaries. Claims context only; not a provider price, patient cost, or quote.

CMS Medicare Post-Acute Care Utilization - Hospice by Geography and Provider source

Average submitted charges per hospice service day

$334.11

per hospice service day / provider-submitted charges divided by source utilization from CMS geographic totals

MS state benchmark / Hospice / Original Medicare fee-for-service beneficiaries in the CMS PAC public-use file

Current source Effective Fiscal year 2024 / Checked 2026-08-11

Weighted calculation from 1,927,814 hospice service days and 20,661 distinct beneficiaries. Claims context only; not a provider price, patient cost, or quote.

CMS Medicare Post-Acute Care Utilization - Hospice by Geography and Provider source

Benchmarks describe the named market, not this provider's quoted price.

Source trail

Research workflow

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