{
"Npi": {
"NPI": "1164590089",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "Y",
"ParentOrgLBN": "OPTIMAL HEALTH SERVICES, INC.",
"ParentOrgTIN": null,
"OrgName": "OPTIMAL HOSPICE, INC.",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "1227 CHESTER AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BAKERSFIELD",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "93301-5445",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "661-410-3000",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "2787 W BULLARD AVE STE 101",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "FRESNO",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "93711-2273",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "559-320-4000",
"PracticeLocationAddressFaxNumber": "559-320-4004",
"EnumerationDate": "11/30/2006",
"LastUpdateDate": "04/25/2023",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CHRISTENSEN",
"AuthorizedOfficialFirstName": "GERRY",
"AuthorizedOfficialMiddleName": "NORMAN",
"AuthorizedOfficialTitle": "EXECUTIVE VP/CFO",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "801-433-0932",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251G00000X",
"TaxonomyName": "Community Based Hospice Care Agency",
"LicenseNumber": "100000782",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}