Provider Demographics
NPI:1518212471
Name:CAREOPTIMA, LLC
Entity Type:Organization
Organization Name:CAREOPTIMA, LLC
Other - Org Name:CAREOPTIMA HOME CARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ROMMEL
Authorized Official - Middle Name:
Authorized Official - Last Name:OLARTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:980-339-2948
Mailing Address - Street 1:624 MATTHEWS MINT HILL RD
Mailing Address - Street 2:STE 207
Mailing Address - City:MATTHEWS
Mailing Address - State:NC
Mailing Address - Zip Code:28105-1773
Mailing Address - Country:US
Mailing Address - Phone:980-339-2948
Mailing Address - Fax:888-510-3229
Practice Address - Street 1:624 MATTHEWS MINT HILL RD
Practice Address - Street 2:STE 207
Practice Address - City:MATTHEWS
Practice Address - State:NC
Practice Address - Zip Code:28105-1773
Practice Address - Country:US
Practice Address - Phone:980-339-2948
Practice Address - Fax:888-510-3229
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-17
Last Update Date:2016-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC4457251J00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6602378Medicaid