Provider Demographics
NPI:1033396957
Name:OPTIM HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:OPTIM HEALTH SERVICES, INC.
Other - Org Name:OPTIM HEALTH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:BRADLEY
Authorized Official - Middle Name:JONATHAN
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-342-3320
Mailing Address - Street 1:12300 FORD RD
Mailing Address - Street 2:SUITE B321
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75234-7248
Mailing Address - Country:US
Mailing Address - Phone:469-342-3320
Mailing Address - Fax:469-521-1082
Practice Address - Street 1:12300 FORD RD
Practice Address - Street 2:SUITE B321
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75234-7248
Practice Address - Country:US
Practice Address - Phone:469-342-3320
Practice Address - Fax:469-521-1082
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-22
Last Update Date:2016-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based