Provider Demographics
NPI:1265159636
Name:OPTIMUM SOLUTION HOME HEALTH LLC
Entity type:Organization
Organization Name:OPTIMUM SOLUTION HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:YVENA
Authorized Official - Middle Name:
Authorized Official - Last Name:VIXAMAR
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:772-212-1183
Mailing Address - Street 1:10570 S US HIGHWAY 1 STE 300
Mailing Address - Street 2:
Mailing Address - City:PORT SAINT LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34952-5606
Mailing Address - Country:US
Mailing Address - Phone:772-212-1183
Mailing Address - Fax:772-212-1283
Practice Address - Street 1:10570 S US HIGHWAY 1 STE 300
Practice Address - Street 2:
Practice Address - City:PORT SAINT LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34952-5606
Practice Address - Country:US
Practice Address - Phone:772-877-2222
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-25
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health