Why this was flagged
Owner is tied to 61 providers
An owner or managing party of this provider (JOHN CHARLES GARBARINO) is listed on 61 separate Medicare enrollments. Chains are legal, but rapid multi-entity accumulation is a common structure in healthcare fraud cases.
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
2 providers share this street address
This address is the registered location of 2 separate Medicare-enrolled providers. Legitimate causes exist (shared medical office buildings, management companies), but dense clustering of billing entities at one address is a known fraud pattern.
Source CMS Hospice Enrollments · record as of 27 Jul 2026 · pulled 18 Sept 2026 · version 2026-09-18 · 641824
Other providers at this street address (3)
BLESSED HOME HEALTH CARE INC
STE 305A · Incorporated Mar 24, 2016
OMNI FAMILY HEALTH
STE 100B · Incorporated Jan 9, 1978
OMNI FAMILY HEALTH
STE 400B · Incorporated Jan 9, 1978
Owners and managing parties of record
BRISTOL HOSPICE HOLDINGS INC
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 100% ownership · since Jul 13, 2017
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
BRISTOL ULTIMATE HOLDCO, LP
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 100% ownership · since Jan 25, 2022
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
BRISTOL HOSPICE, L.L.C.
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 100% ownership · since Jul 13, 2018
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
OPTIMAL HEALTH SERVICES, INC.
5% OR GREATER DIRECT OWNERSHIP INTEREST · O · 100% ownership · since Jan 1, 2004
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
BRISTOL HOSPICE TOPCO INC
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 100% ownership · since Jul 13, 2017
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
WEBSTER EQUITY PARTNERS BRISTOL CF LP
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 69.8% ownership · since Jan 25, 2022
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
AWARE SUPER PTY, LTD.
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 8.28% ownership · since Jan 24, 2022
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
WEBSTER EQUITY PARTNERS IV BRISTOL CF LP
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 5.72% ownership · since Jan 25, 2022
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
DAVID A MALM
CORPORATE OFFICER · I · 0% ownership · since Sep 1, 2023
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
TODD A FARRER
CONTRACTED MANAGING EMPLOYEE · I · 0% ownership · since Jul 1, 2017
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
DAVID A MALM
CORPORATE DIRECTOR · I · 0% ownership · since Jul 13, 2018
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
ALEX EDWARD MAURICIO
CORPORATE OFFICER · I · 0% ownership · since Jan 1, 2023
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
ALEX EDWARD MAURICIO
CORPORATE DIRECTOR · I · 0% ownership · since Jan 1, 2023
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
ALBERT J PEINADO
CONTRACTED MANAGING EMPLOYEE · I · 0% ownership · since Dec 1, 2008
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
JOHN CHARLES GARBARINO
CORPORATE OFFICER · I · 0% ownership · since Sep 1, 2023
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
JOHN CHARLES GARBARINO
CORPORATE DIRECTOR · I · 0% ownership · since Jul 13, 2018
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
MICHAEL DERRICK
CORPORATE OFFICER · I · 0% ownership · since Sep 1, 2023
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
COREY R GAROUTTE
W-2 MANAGING EMPLOYEE · I · 0% ownership · since Apr 20, 2022
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
Source timeline
Every flag on this provider is built from one or more published government files. Below is each file that contributed, the weekly pulls we have of it, and the actual records read from it.
CMS Hospice All Owners
- Owner is tied to 61 providers
Weekly refreshes
- 18 Sept 2026 (in use)70,444 recordspublisher data as of 19 Aug 2026
Records read from this file
- BRISTOL HOSPICE HOLDINGS INC5% OR GREATER INDIRECT OWNERSHIP INTEREST · 100% share · since 2017-07-13
- BRISTOL ULTIMATE HOLDCO, LP5% OR GREATER INDIRECT OWNERSHIP INTEREST · 100% share · since 2022-01-25
- BRISTOL HOSPICE, L.L.C.5% OR GREATER INDIRECT OWNERSHIP INTEREST · 100% share · since 2018-07-13
- OPTIMAL HEALTH SERVICES, INC.5% OR GREATER DIRECT OWNERSHIP INTEREST · 100% share · since 2004-01-01
- BRISTOL HOSPICE TOPCO INC5% OR GREATER INDIRECT OWNERSHIP INTEREST · 100% share · since 2017-07-13
- WEBSTER EQUITY PARTNERS BRISTOL CF LP5% OR GREATER INDIRECT OWNERSHIP INTEREST · 69.8% share · since 2022-01-25
- AWARE SUPER PTY, LTD.5% OR GREATER INDIRECT OWNERSHIP INTEREST · 8.28% share · since 2022-01-24
- WEBSTER EQUITY PARTNERS IV BRISTOL CF LP5% OR GREATER INDIRECT OWNERSHIP INTEREST · 5.72% share · since 2022-01-25
CMS Hospice Enrollments
- 2 providers share this street address
Weekly refreshes
- 18 Sept 2026 (in use)5,802 records5,000 added · 1 changed · 0 removedpublisher data as of 27 Jul 2026
Records read from this file
- OPTIMAL HOSPICE, INC.NPI 1396726493 · certification 051725 · 4900 CALIFORNIA AVE, BAKERSFIELD, CA
- BLESSED HOME HEALTH CARE INCsame street address in the same file
- OMNI FAMILY HEALTHsame street address in the same file
cms_hospice_payments
No completed weekly pull is recorded for this file yet.
Records read from this file
- Bristol Hospice - Bakersfield — 2024$16,300,730 paid · 820 patients
Where every detail came from
Each value below is traced to the published file it was read from, the day we downloaded it, and the weekly version it belongs to. Open the link to check the original record yourself.
| Detail | Value | Published file | Record as of | Pulled | Version |
|---|---|---|---|---|---|
| Legal name | OPTIMAL HOSPICE, INC. | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| Trading name | BRISTOL HOSPICE - BAKERSFIELD | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| NPI | 1396726493 | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| Medicare certification number | 051725 | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| CMS associate ID | 6507858735 | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| Provider type | PART A PROVIDER - HOSPICE | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| Organisation type | CORPORATION | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| Incorporation date | 1998-04-23 | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| State of incorporation | CA | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| Street address | 4900 CALIFORNIA AVE, STE 110A | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| City | BAKERSFIELD | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| State | CA | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| ZIP | 933097024 | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
What changed
How this provider's public record has moved between weekly refreshes. See the whole week.
Nothing has changed for this provider since we started comparing weekly refreshes.
Public research history
Nobody has worked this lead yet. Notes published by investigators stay here even after a claim expires.
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No notes yet. If you have checked this provider, say what you found.