Provider Demographics
NPI:1679920847
Name:OPTIMUM HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:OPTIMUM HOME HEALTH CARE LLC
Other - Org Name:OPTIMUM HOME HEALTH CARE LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:ABDI
Authorized Official - Middle Name:O
Authorized Official - Last Name:ADAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-846-8833
Mailing Address - Street 1:5900 N HIGH ST
Mailing Address - Street 2:SUITE 210
Mailing Address - City:WORTHINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43085-3956
Mailing Address - Country:US
Mailing Address - Phone:614-846-8833
Mailing Address - Fax:
Practice Address - Street 1:5900 N HIGH ST
Practice Address - Street 2:SUITE 210
Practice Address - City:WORTHINGTON
Practice Address - State:OH
Practice Address - Zip Code:43085-3956
Practice Address - Country:US
Practice Address - Phone:614-846-8833
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-18
Last Update Date:2016-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH368359Medicare Oscar/Certification