Provider Demographics
NPI:1508379181
Name:OPTIMUM MA HOME HEALTH CARE, INC
Entity Type:Organization
Organization Name:OPTIMUM MA HOME HEALTH CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ARTUR
Authorized Official - Middle Name:
Authorized Official - Last Name:SARSGYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-290-3331
Mailing Address - Street 1:5658 SEPULVEDA BLVD STE 208
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91411-2927
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5658 SEPULVEDA BLVD STE 208
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91411-2927
Practice Address - Country:US
Practice Address - Phone:818-290-3331
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-06
Last Update Date:2017-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health