- Enrollment id
- O20041222000330
- Enrollment state
- CA
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1396726493
- Multiple npi flag
- N
- Ccn
- 051725
- Associate id
- 6507858735
- Organization name
- OPTIMAL HOSPICE, INC.
- Doing business as name
- BRISTOL HOSPICE - BAKERSFIELD
- Incorporation date
- 1998-04-23
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 4900 CALIFORNIA AVE
- Address line 2
- STE 110A
- City
- BAKERSFIELD
- State
- CA
- Zip code
- 933097024