Provider Demographics
NPI:1164649299
Name:OPTIMAL HOSPICE CARE INC.
Entity Type:Organization
Organization Name:OPTIMAL HOSPICE CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE VP/CFO
Authorized Official - Prefix:
Authorized Official - First Name:GERRY
Authorized Official - Middle Name:NORMAN
Authorized Official - Last Name:CHRISTENSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-433-0932
Mailing Address - Street 1:1227 CHESTER AVE
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93301-5445
Mailing Address - Country:US
Mailing Address - Phone:661-410-3000
Mailing Address - Fax:
Practice Address - Street 1:5000 E SPRING ST STE 525
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90815-5244
Practice Address - Country:US
Practice Address - Phone:877-220-2480
Practice Address - Fax:877-220-2481
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:OPTIMAL HOSPICE CARE INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-04-19
Last Update Date:2019-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA201618251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based