Provider Demographics
NPI:1659906220
Name:OPTIMAL CARE, INC.
Entity Type:Organization
Organization Name:OPTIMAL CARE, INC.
Other - Org Name:OPTIMAL HOSPICE, OPTIMAL HOME CARE AND HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ERIK
Authorized Official - Middle Name:
Authorized Official - Last Name:WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:248-723-9613
Mailing Address - Street 1:24255 W 13 MILE RD STE 250
Mailing Address - Street 2:
Mailing Address - City:BINGHAM FARMS
Mailing Address - State:MI
Mailing Address - Zip Code:48025-4322
Mailing Address - Country:US
Mailing Address - Phone:248-723-9613
Mailing Address - Fax:248-723-9615
Practice Address - Street 1:24255 W 13 MILE RD STE 250
Practice Address - Street 2:
Practice Address - City:BINGHAM FARMS
Practice Address - State:MI
Practice Address - Zip Code:48025-4322
Practice Address - Country:US
Practice Address - Phone:248-723-9613
Practice Address - Fax:248-723-9615
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-04
Last Update Date:2023-05-01
Deactivation Date:2022-08-26
Deactivation Code:
Reactivation Date:2022-09-21
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based