Provider Demographics
NPI:1508041831
Name:OPTIMUM CARE HOME HEALTH SERVICES, INC
Entity Type:Organization
Organization Name:OPTIMUM CARE HOME HEALTH SERVICES, INC
Other - Org Name:OPTIMUM CARE HOME HEALTH SERVICES,INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:CORDELIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:KPADUWA
Authorized Official - Suffix:
Authorized Official - Credentials:MS,SLP
Authorized Official - Phone:562-307-3858
Mailing Address - Street 1:7340 FLORENCE AVE STE 219
Mailing Address - Street 2:
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90240-3672
Mailing Address - Country:US
Mailing Address - Phone:562-928-8006
Mailing Address - Fax:562-928-8261
Practice Address - Street 1:7340 FLORENCE AVE STE 219
Practice Address - Street 2:
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90240-3672
Practice Address - Country:US
Practice Address - Phone:562-928-8006
Practice Address - Fax:562-928-8261
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-05
Last Update Date:2008-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health