Provider Demographics
NPI:1346899283
Name:OPTIMUM HOME HEALTH CARE
Entity Type:Organization
Organization Name:OPTIMUM HOME HEALTH CARE
Other - Org Name:OPTIMUM HOME HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:BLANCA
Authorized Official - Last Name:MILIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-789-5897
Mailing Address - Street 1:515 LAYTON PL
Mailing Address - Street 2:
Mailing Address - City:LEHIGH ACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33936-7503
Mailing Address - Country:US
Mailing Address - Phone:239-789-5897
Mailing Address - Fax:
Practice Address - Street 1:515 LAYTON PL
Practice Address - Street 2:
Practice Address - City:LEHIGH ACRES
Practice Address - State:FL
Practice Address - Zip Code:33936-7503
Practice Address - Country:US
Practice Address - Phone:239-789-5897
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-04
Last Update Date:2019-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health