Provider Demographics
NPI:1710646971
Name:OPTIMAL CARE HEALTH SERVICES INC.
Entity Type:Organization
Organization Name:OPTIMAL CARE HEALTH SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:DAISY
Authorized Official - Middle Name:K
Authorized Official - Last Name:MOMANYI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-439-8765
Mailing Address - Street 1:36 GARDEN VIEW TER UNIT 21
Mailing Address - Street 2:
Mailing Address - City:EAST WINDSOR
Mailing Address - State:NJ
Mailing Address - Zip Code:08520-4645
Mailing Address - Country:US
Mailing Address - Phone:732-439-8765
Mailing Address - Fax:
Practice Address - Street 1:36 GARDEN VIEW TER UNIT 21
Practice Address - Street 2:
Practice Address - City:EAST WINDSOR
Practice Address - State:NJ
Practice Address - Zip Code:08520-4645
Practice Address - Country:US
Practice Address - Phone:732-439-8765
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-14
Last Update Date:2021-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No251B00000XAgenciesCase ManagementGroup - Multi-Specialty
No251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
No3104A0625XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Mental Illness