Provider Demographics
NPI:1497405211
Name:OPTIMAL HOME HEALTH, LLC
Entity Type:Organization
Organization Name:OPTIMAL HOME HEALTH, LLC
Other - Org Name:COMFORT KEEPERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPERATIONS MANAGMENT
Authorized Official - Prefix:
Authorized Official - First Name:MISTY
Authorized Official - Middle Name:S
Authorized Official - Last Name:NOVAKOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:734-624-2772
Mailing Address - Street 1:981 N MILL ST
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MI
Mailing Address - Zip Code:48170-1425
Mailing Address - Country:US
Mailing Address - Phone:734-624-2772
Mailing Address - Fax:
Practice Address - Street 1:381 MILL ST
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MI
Practice Address - Zip Code:48170-1425
Practice Address - Country:US
Practice Address - Phone:734-624-2772
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-25
Last Update Date:2022-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive Care
No171W00000XOther Service ProvidersContractorGroup - Multi-Specialty