Provider Demographics
NPI:1790241651
Name:OPTIMA HEALTHCARE LIMITED LIABILITY COMPANY
Entity Type:Organization
Organization Name:OPTIMA HEALTHCARE LIMITED LIABILITY COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:LUKMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:LAWAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-844-5984
Mailing Address - Street 1:19439 GRAND COLONY CT
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-4541
Mailing Address - Country:US
Mailing Address - Phone:407-844-5984
Mailing Address - Fax:
Practice Address - Street 1:19439 GRAND COLONY CT
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449-4541
Practice Address - Country:US
Practice Address - Phone:407-844-5984
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-15
Last Update Date:2019-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health