Provider Demographics
NPI:1710376413
Name:OPTIMAL SENIOR SERVICES OF MASSACHUSETTS, INC.
Entity Type:Organization
Organization Name:OPTIMAL SENIOR SERVICES OF MASSACHUSETTS, INC.
Other - Org Name:FIRSTLIGHT HOMECARE OF WEST SUBURBAN BOSTON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:STERN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-997-2728
Mailing Address - Street 1:172 ELMWOOD RD
Mailing Address - Street 2:
Mailing Address - City:NEEDHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02492-4546
Mailing Address - Country:US
Mailing Address - Phone:240-997-2728
Mailing Address - Fax:
Practice Address - Street 1:109 HIGHLAND AVE
Practice Address - Street 2:SUITE B-3
Practice Address - City:NEEDHAM
Practice Address - State:MA
Practice Address - Zip Code:02494-3091
Practice Address - Country:US
Practice Address - Phone:240-997-2728
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-19
Last Update Date:2015-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care