Provider Demographics
NPI:1598012221
Name:OPTIMUM SENIOR CARE CORP.
Entity Type:Organization
Organization Name:OPTIMUM SENIOR CARE CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENCY MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ZOLTAN
Authorized Official - Middle Name:
Authorized Official - Last Name:GASPAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-483-8801
Mailing Address - Street 1:415 W GOLF RD
Mailing Address - Street 2:SUITE 40
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60005-3929
Mailing Address - Country:US
Mailing Address - Phone:847-483-8801
Mailing Address - Fax:847-483-8806
Practice Address - Street 1:415 W GOLF RD
Practice Address - Street 2:SUITE 40
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60005-3929
Practice Address - Country:US
Practice Address - Phone:847-483-8801
Practice Address - Fax:847-483-8806
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-13
Last Update Date:2012-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL3000254253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care