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OPTIMAL HOSPICE, INC.
NPI 1164590089
Hospice Care, Community Based in Fresno, CA

Active since November 30, 2006CLIA 05D2246309 · Waiver
2787 W BULLARD AVE STE 101, FRESNO, CA 93711(559) 320-4000(559) 320-4004 Get Directions Write a Review

NPPES record last updated: February 23, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Optimal Hospice, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OPTIMAL HOSPICE, INC. (NPI 1164590089), doing business as Bristol Hospice - Fresno, is a healthcare organization registered as a hospice care, community based in Fresno, California and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through December 21, 2027 and lists Alex Mauricio, Ceo, as its authorized official.

NPPES Registry Identity

NPI1164590089
Entity TypeOrganization
Primary Taxonomy251G00000X
Legal Business NameOPTIMAL HOSPICE, INC.
Location Address2787 W BULLARD AVE STE 101Fresno, CA 93711-2273
Mailing Address206 N 2100 W Ste 202Salt Lake City, UT 84116-4741 · (801) 325-0175 · Fax (801) 478-3533
Phone(559) 320-4000
Fax(559) 320-4004
Organization SubpartYesParent: Optimal Health Services, Inc.
Authorized OfficialAlex MauricioCeo · (801) 325-0175
Enumeration DateNovember 30, 2006
Last NPPES UpdateFebruary 23, 2026
NPPES CertifiedFebruary 23, 2026
✔ NPI 1164590089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospice Care, Community BasedAgencies
Taxonomy Code251G00000X
License✔ Licensed in CA · 100000782
2787 W BULLARD AVE STE 101, Fresno, CA 93711
Open in Google Maps ↗

Other Names 1

Doing Business AsBristol Hospice - Fresno

Other Identifiers 1

MedicaidHPC01769FCA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2246309

Optimal Hospice Inc Dba Bristol Hospice - Fresno · Fresno, CA
Active · expires Dec 21, 2027
CLIA Number05D2246309
Laboratory TypeHospice
Certificate Effective DateDecember 22, 2025
Certificate Expiration DateDecember 21, 2027
Laboratory DirectorAlireza Fard
Laboratory Phone(559) 320-4000
Laboratory LocationOptimal Hospice Inc Dba Bristol Hospice - Fresno2787 W Bullard Ave, Ste 101, Fresno, CA 93711
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Hospice Care Quality CMS Care Compare

Quality measures, care settings and the Hospice Care Index for Bristol Hospice Visalia (CMS certification number 051769), from CMS Care Compare.

Bristol Hospice Visalia

Hospice · Fresno, CA
OwnershipFor-Profit
CMS Certification Number051769
CMS RegionRegion 9
Medicare-Certified SinceJuly 15, 2004
Average Daily Census391patients per day on average
Location6780 North West Avenue, Suite 101Fresno, CA 93711 · Fresno County
Phone(559) 320-4000
Routine home care and other levels of care Serves Medicare Advantage patients Serves dual-eligible patients

Care Settings & Patients

Where care was provided, as a share of care days
Home52%
Assisted living facility21%
Nursing facility1%
Skilled nursing facility24%
Inpatient hospice facility0%
Inpatient hospital0%
Other locations2%
Patients with cancer
20%
Patients with dementia
36%
Patients with circulatory or heart disease
18%
Patients with respiratory disease
5%
Patients with stroke
7%
Patients with other conditions
4%
Profile statistics are from the 2020 CMS reporting year. Zero values reflect that year and may differ in more recent years.

Quality Measures

Hospice and Palliative Care Treatment Preferences
1477 patient stays
100%
Beliefs & Values Addressed (if desired by the patient)
1477 patient stays
100%
Hospice and Palliative Care Pain Screening
1477 patient stays
100%
Hospice and Palliative Care Pain Assessment
948 patient stays
100%
Hospice and Palliative Care Dyspnea Screening
1477 patient stays
100%
Hospice and Palliative Care Dyspnea Treatment
838 patient stays
100%
Patient Treated with an Opioid Who Are Given a Bowel Regimen
204 patient stays
100%
Hospice and Palliative Care Composite Process Measure
1477 patient stays
100%
Hospice Visits in the Last Days of Life
1,957 patient stays
13.3%
Measures are reported under the CMS Hospice Quality Reporting Program. Reporting periods vary by measure (2022 to 2023). Measures without current CMS data are not shown.
10/10
Hospice Care IndexTen claims-based indicators of care processes · CMS Care Compare
CHC/GIP provided
National percentile 51
0%
Gaps in nursing visits
National percentile 39
46.8%
Early live discharges
National percentile 74
9.4%
Late live discharges
National percentile 51
39.8%
Burdensome transitions, Type 1
National percentile 78
12.5%
Burdensome transitions, Type 2
National percentile 79
3.4%
Per-beneficiary spending
National percentile 66
$19,545
Nurse care minutes per routine home care days
National percentile 57
12.9 minutes
Skilled nursing minutes on weekends
National percentile 26
6%
Visits near death
National percentile 22
85.4%
Percentiles compare this hospice with all hospices nationally, as published by CMS.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MADELYN R. CAREY DNP, FNP-BC
Nurse Practitioner
2787 W BULLARD AVE STE 101
FRESNO, CA 93711
Fresno County (559) 320-4000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Optimal Hospice, Inc.'s NPI number?

The NPI number for Optimal Hospice, Inc. is 1164590089. It was assigned to this organization in the NPPES registry on November 30, 2006. The provider is doing business as Bristol Hospice - Fresno.

Where is Optimal Hospice, Inc. located?

Optimal Hospice, Inc. is located at 2787 W Bullard Ave Ste 101, Fresno, CA 93711. The listed phone number is (559) 320-4000.

What is Optimal Hospice, Inc.'s specialty?

The primary specialty registered for this NPI is Hospice Care, Community Based with taxonomy code 251G00000X.

Does Optimal Hospice, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2246309) is associated with this NPI, valid through December 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Optimal Hospice, Inc. a Medicare-certified hospice?

Yes. Bristol Hospice Visalia is a Medicare-certified hospice (CMS certification number 051769), certified since July 15, 2004.

When was this NPI record last updated?

The NPPES record for Optimal Hospice, Inc. was last updated on February 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.