Provider Demographics
NPI:1043444326
Name:OPTIMAL HOME HEALTH CARE SERVICES INC
Entity Type:Organization
Organization Name:OPTIMAL HOME HEALTH CARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:ALCIRA
Authorized Official - Middle Name:
Authorized Official - Last Name:UBEDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:3058-222-6615
Mailing Address - Street 1:15291 NW 60TH AVE
Mailing Address - Street 2:SUITE 105
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33014-2458
Mailing Address - Country:US
Mailing Address - Phone:786-278-1574
Mailing Address - Fax:
Practice Address - Street 1:15291 NW 60TH AVE
Practice Address - Street 2:SUITE 105
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33014-2458
Practice Address - Country:US
Practice Address - Phone:786-278-1574
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-14
Last Update Date:2010-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health