Provider Demographics
NPI:1518111384
Name:OPTIMA CARE, LLC
Entity Type:Organization
Organization Name:OPTIMA CARE, LLC
Other - Org Name:OPTIMA HOME CARE, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:FLORENCE
Authorized Official - Middle Name:
Authorized Official - Last Name:CHESIMET
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:763-432-2522
Mailing Address - Street 1:14500 34TH AVE N
Mailing Address - Street 2:APT 132
Mailing Address - City:PLYMOUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55447-5212
Mailing Address - Country:US
Mailing Address - Phone:763-432-2522
Mailing Address - Fax:763-390-5045
Practice Address - Street 1:14500 34TH AVE N
Practice Address - Street 2:APT 132
Practice Address - City:PLYMOUTH
Practice Address - State:MN
Practice Address - Zip Code:55447-5212
Practice Address - Country:US
Practice Address - Phone:763-432-2522
Practice Address - Fax:763-390-5045
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-06
Last Update Date:2008-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN341899251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health