Provider Demographics
NPI:1922574987
Name:OPTIMIZED HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:OPTIMIZED HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORISED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:BETTY
Authorized Official - Middle Name:
Authorized Official - Last Name:KASASA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-537-6838
Mailing Address - Street 1:8212 BRINK RD
Mailing Address - Street 2:
Mailing Address - City:LAYTONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20882-4858
Mailing Address - Country:US
Mailing Address - Phone:301-537-6838
Mailing Address - Fax:301-569-7940
Practice Address - Street 1:13000 HARBOR CENTER DR # 312B
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22192-2846
Practice Address - Country:US
Practice Address - Phone:571-466-8793
Practice Address - Fax:301-569-7940
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-17
Last Update Date:2018-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health