Provider Demographics
NPI:1417351495
Name:OPTIMUM CARE SERVICES, LLC.
Entity Type:Organization
Organization Name:OPTIMUM CARE SERVICES, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:AYODEJI
Authorized Official - Middle Name:L
Authorized Official - Last Name:ONIBUORE
Authorized Official - Suffix:
Authorized Official - Credentials:BSC
Authorized Official - Phone:973-818-0145
Mailing Address - Street 1:72 MORRIS DR
Mailing Address - Street 2:
Mailing Address - City:SICKLERVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08081-4405
Mailing Address - Country:US
Mailing Address - Phone:973-818-0145
Mailing Address - Fax:
Practice Address - Street 1:72 MORRIS DR
Practice Address - Street 2:
Practice Address - City:SICKLERVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08081-4405
Practice Address - Country:US
Practice Address - Phone:732-331-5627
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-20
Last Update Date:2017-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP0195801251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health