Provider Demographics
NPI:1356440226
Name:OPTIMAL IN HOME CARE INC.
Entity Type:Organization
Organization Name:OPTIMAL IN HOME CARE INC.
Other - Org Name:OPTIMAL IN HOME CARE INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:JACQUELINE
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-669-0299
Mailing Address - Street 1:2646 S LOOP W STE 645
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-5208
Mailing Address - Country:US
Mailing Address - Phone:713-669-0299
Mailing Address - Fax:713-669-0244
Practice Address - Street 1:2646 S LOOP W STE 645
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-5208
Practice Address - Country:US
Practice Address - Phone:713-669-0299
Practice Address - Fax:713-669-0244
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-21
Last Update Date:2024-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX006580251E00000X
251E00000X, 3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
No251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX109700Medicaid
TX000109700Medicaid