Provider Demographics
NPI:1851565881
Name:OPTIMUM HEALTHCARE SERVICES
Entity Type:Organization
Organization Name:OPTIMUM HEALTHCARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHADWICK
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:JONES
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:814-571-0536
Mailing Address - Street 1:6150 CLEARSMOKE CT
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21045-4308
Mailing Address - Country:US
Mailing Address - Phone:443-310-9611
Mailing Address - Fax:563-405-3588
Practice Address - Street 1:6150 CLEARSMOKE CT
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045-4308
Practice Address - Country:US
Practice Address - Phone:443-310-9611
Practice Address - Fax:563-405-3588
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-22
Last Update Date:2008-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health