Why this was flagged
4 providers share this street address
This address is the registered location of 4 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 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · cca83d
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Many providers in separate suites of one building
This building hosts providers registered across 4 different suite or unit numbers, a pattern seen when shell agencies are set up side by side.
Source CMS Hospice Enrollments · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · cca83d
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Owner is tied to 65 providers
An owner or managing party of this provider (JOHN CHARLES GARBARINO) is listed on 65 separate Medicare enrollments. Chains are legal, and most are ordinary business — this is background context, not a fraud indicator on its own.
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
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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 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
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 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
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 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
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 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
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 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
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 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
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 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
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 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
TODD A FARRER
CONTRACTED MANAGING EMPLOYEE · I · 0% ownership · since Jul 1, 2017
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
ALEX EDWARD MAURICIO
CORPORATE OFFICER · I · 0% ownership · since Jan 1, 2023
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
ALEX EDWARD MAURICIO
CORPORATE DIRECTOR · I · 0% ownership · since Jan 1, 2023
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
ALBERT J PEINADO
CONTRACTED MANAGING EMPLOYEE · I · 0% ownership · since Dec 1, 2008
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
JOHN CHARLES GARBARINO
CORPORATE OFFICER · I · 0% ownership · since Sep 1, 2023
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
JOHN CHARLES GARBARINO
CORPORATE DIRECTOR · I · 0% ownership · since Jul 13, 2018
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
MICHAEL DERRICK
CORPORATE OFFICER · I · 0% ownership · since Sep 1, 2023
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
COREY R GAROUTTE
W-2 MANAGING EMPLOYEE · I · 0% ownership · since Apr 20, 2022
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
DAVID A MALM
CORPORATE OFFICER · I · 0% ownership · since Sep 1, 2023
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
DAVID A MALM
CORPORATE DIRECTOR · I · 0% ownership · since Jul 13, 2018
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
Source timeline
Corrections and disputes
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Source records
Each value includes its published file, download date, and weekly version. Open a link to check the source record. Verify this lead yourself.
| Detail | Value | Published file | Record as of | Pulled | Version |
|---|---|---|---|---|---|
| Legal name | OPTIMAL HOSPICE, INC. | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
| Trading name | BRISTOL HOSPICE - BAKERSFIELD | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
| NPI | 1396726493 | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
| Medicare certification number | 051725 | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
| CMS associate ID | 6507858735 | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
| Provider type | PART A PROVIDER - HOSPICE | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
| Organisation type | CORPORATION | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
| Incorporation date | 1998-04-23 | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
| State of incorporation | CA | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
| Street address | 4900 CALIFORNIA AVE, STE 110A | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
| City | BAKERSFIELD | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
| State | CA | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
| ZIP | 93309-7024 | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
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