Provider Demographics
NPI:1568624583
Name:OPTIMAL HEALTHCARE L.L.C.
Entity Type:Organization
Organization Name:OPTIMAL HEALTHCARE L.L.C.
Other - Org Name:OPTIMAL HEALTHCARE L.L.C.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:C.E.O.
Authorized Official - Prefix:
Authorized Official - First Name:JACQUELINE
Authorized Official - Middle Name:E
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-788-2089
Mailing Address - Street 1:26 SAYBROOK RD UNIT A
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:CT
Mailing Address - Zip Code:06457-4703
Mailing Address - Country:US
Mailing Address - Phone:860-788-2089
Mailing Address - Fax:
Practice Address - Street 1:26 SAYBROOK RD UNIT A
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:CT
Practice Address - Zip Code:06457-4703
Practice Address - Country:US
Practice Address - Phone:860-788-2089
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:OPTIMAL HEALTHCARE L.L.C.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-07-01
Last Update Date:2008-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTHCA0000309251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTHCA0000309OtherCONSUMER PROTECTION