Active NPI
Sojourn Hospice & Palliative Care-Modesto, LLC.
Doing business as Optimal Hospice Care
- Community Based Hospice Care Agency
- Modesto, CA
National Provider Identifier
1699168351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- SOJOURN HOSPICE & PALLIATIVE CARE-MODESTO, LLC.
- Doing business as
- Optimal Hospice Care
- Practice address
- 1101 Sylvan Ave Ste B10
Modesto, CA 95350-1679 - Phone
- (209) 712-6670
- NPI assigned
- Mar 5, 2015
- Last updated
- Jun 26, 2020
- Organization subpart
- Yes
- Parent organization
- OPTIMAL HEALTH SERVICES, INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Hyrum Kirton
- Title
- President and Ceo
- Phone
- (801) 325-0175
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
1101 Sylvan Ave Ste B10
Modesto, CA 95350-1679
Mailing address
206 N 2100 W Ste 202
Salt Lake City, UT 84116-4741
Phone (801) 325-0175
Other names 1
- Optimal Hospice Care
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2244671 | Optimal Hospice Inc | Certificate of waiver | Dec 2, 2027 |
National Provider Directory
National Provider DirectoryOwnership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Rehabilitation Chiropractor
- Santa Ana, CA
- NPI 1689708174
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425513600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1593129600000",
"number": "1699168351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 N 2100 W STE 202",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841164741",
"telephone_number": "801-325-0175",
"fax_number": "801-478-3588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 SYLVAN AVE STE B10",
"city": "MODESTO",
"state": "CA",
"postal_code": "953501679",
"telephone_number": "209-712-6670"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOJOURN HOSPICE & PALLIATIVE CARE-MODESTO, LLC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "OPTIMAL HEALTH SERVICES, INC",
"enumeration_date": "2015-03-05",
"last_updated": "2020-06-26",
"certification_date": "2020-06-26",
"status": "A",
"authorized_official_last_name": "KIRTON",
"authorized_official_first_name": "HYRUM",
"authorized_official_title_or_position": "PRESIDENT AND CEO",
"authorized_official_telephone_number": "801-325-0175"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Optimal Hospice Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.