Provider Demographics
NPI:1669792362
Name:OPTIMA HOME HEALTH SERVICES LLC
Entity type:Organization
Organization Name:OPTIMA HOME HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMED
Authorized Official - Middle Name:
Authorized Official - Last Name:BATUN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-428-2727
Mailing Address - Street 1:5979 E LIVINGSTON AVE
Mailing Address - Street 2:SUITE 107
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43232-2942
Mailing Address - Country:US
Mailing Address - Phone:614-861-2727
Mailing Address - Fax:614-861-2728
Practice Address - Street 1:5979 E LIVINGSTON AVE
Practice Address - Street 2:SUITE 107
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43232-2942
Practice Address - Country:US
Practice Address - Phone:614-861-2727
Practice Address - Fax:614-861-2728
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-03
Last Update Date:2015-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1669792362Medicaid
OH1669792362Medicare UPIN
OH1669792362Medicare Oscar/Certification
OH1669792362Medicare PIN
OH1669792362Medicaid