Provider Demographics
NPI:1275921777
Name:OPTIMAL PATIENT CARE LLC
Entity Type:Organization
Organization Name:OPTIMAL PATIENT CARE LLC
Other - Org Name:REHAB MATTERS HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FERMIN
Authorized Official - Middle Name:BACALSO
Authorized Official - Last Name:ROTEA
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:813-310-1526
Mailing Address - Street 1:4319 E 7TH AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33605-4628
Mailing Address - Country:US
Mailing Address - Phone:813-961-8262
Mailing Address - Fax:813-961-8264
Practice Address - Street 1:8225 STATE ROAD 54
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34655-3016
Practice Address - Country:US
Practice Address - Phone:727-372-5206
Practice Address - Fax:727-372-8474
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-06
Last Update Date:2015-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health