OPTIMAL HOSPICE CARE
NPI 1699168351
Hospice Care, Community Based in Modesto, CA
- Organization
- Hospice Care, Community Based
- CLIA Number: 05D2244671
- CLIA Cert. Type: Hospice
- CLIA Exp. Date: 12-02-2027
About OPTIMAL HOSPICE CARE
This page provides the complete NPI Profile along with additional information for Optimal Hospice Care, a provider established in Modesto, California operating as a Hospice Care, Community Based. The healthcare provider is registered in the NPI registry with number 1699168351 assigned on March 2015. The practitioner's primary taxonomy code is 251G00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Optimal Hospice Care. The authorized official of this NPI record is Hyrum Kirton (President And Ceo)
- NPI
- 1699168351 Verify this NPI
- Provider Legal Name
- SOJOURN HOSPICE & PALLIATIVE CARE-MODESTO, LLC.
- Other Organization Name
- OPTIMAL HOSPICE CARE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1101 SYLVAN AVE STE B10 MODESTO, CA 95350
- Location Phone
- (209) 712-6670
- Mailing Address
- 206 N 2100 W STE 202 SALT LAKE CITY, UT 84116
- Mailing Phone
- (801) 325-0175
- Mailing Fax
- (801) 478-3588
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 03-05-2015
- Last Update Date
- 06-26-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Hospice Care, Community Based
- Taxonomy Code
- 251G00000X
- Type
- Agencies
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D2244671
- Facility Type
- Hospice
- Certificate Effective Date
- December 03, 2025
- Certificate Expiration Date
- December 02, 2027
- Laboratory Director
- RICHARD HECK
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Optimal Hospice Care to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1699168351, enumerated as an "organization" on March 05, 2015.
The provider is located at 1101 SYLVAN AVE STE B10 MODESTO, CA 95350 and the phone number is (209) 712-6670.
Hospice Care, Community Based with taxonomy code 251G00000X.
