Provider Demographics
NPI:1063493161
Name:OPTIMAL HOME HEALTH CARE INC.
Entity Type:Organization
Organization Name:OPTIMAL HOME HEALTH CARE INC.
Other - Org Name:OPTIMAL HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AJOY
Authorized Official - Middle Name:
Authorized Official - Last Name:KHANDHERIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-410-4000
Mailing Address - Street 1:1227 CHESTER AVE
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93301-5445
Mailing Address - Country:US
Mailing Address - Phone:661-410-4000
Mailing Address - Fax:661-387-7147
Practice Address - Street 1:1227 CHESTER AVE
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-5445
Practice Address - Country:US
Practice Address - Phone:614-410-4000
Practice Address - Fax:559-542-8308
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:OPTIMAL HEALTH SERVICES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-11-07
Last Update Date:2022-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA120000345251E00000X, 251F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251F00000XAgenciesHome Infusion
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAHHA57289FMedicaid
CA120000345OtherLICENSE
CA557289Medicare ID - Type UnspecifiedMEDICARE ID NUMBER