Provider Demographics
NPI:1467038166
Name:OPTIMUM CARE & HEALTH SERVICES
Entity Type:Organization
Organization Name:OPTIMUM CARE & HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL BILLING SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:FELICIA
Authorized Official - Middle Name:MAE
Authorized Official - Last Name:MCPHATTER
Authorized Official - Suffix:
Authorized Official - Credentials:AAS, MOA
Authorized Official - Phone:910-286-3446
Mailing Address - Street 1:PO BOX 40602
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28309-0602
Mailing Address - Country:US
Mailing Address - Phone:910-286-3446
Mailing Address - Fax:
Practice Address - Street 1:105 DAVIS ST
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28305-5355
Practice Address - Country:US
Practice Address - Phone:910-286-3446
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-23
Last Update Date:2021-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Multi-Specialty
No372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty
No385H00000XRespite Care FacilityRespite Care