Provider Demographics
NPI:1760705503
Name:OPTIMAL HOME HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:OPTIMAL HOME HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:LVN
Authorized Official - Phone:951-796-4207
Mailing Address - Street 1:30111 TECHNOLOGY DR
Mailing Address - Street 2:SUITE 110
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92563-2655
Mailing Address - Country:US
Mailing Address - Phone:951-691-5001
Mailing Address - Fax:951-691-5003
Practice Address - Street 1:30111 TECHNOLOGY DR
Practice Address - Street 2:SUITE 110
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92563-2655
Practice Address - Country:US
Practice Address - Phone:951-691-5001
Practice Address - Fax:951-691-5003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-08
Last Update Date:2010-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health