Provider Demographics
NPI:1750975942
Name:OPTIMA HOME HEALTH CARE LLC
Entity type:Organization
Organization Name:OPTIMA HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:RACHEL
Authorized Official - Last Name:O'BRIEN
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:810-406-9466
Mailing Address - Street 1:6206 EMERALD DR
Mailing Address - Street 2:
Mailing Address - City:GRAND BLANC
Mailing Address - State:MI
Mailing Address - Zip Code:48439-7809
Mailing Address - Country:US
Mailing Address - Phone:810-406-9466
Mailing Address - Fax:810-337-9682
Practice Address - Street 1:4250 N SAGINAW ST STE D
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48505-5332
Practice Address - Country:US
Practice Address - Phone:810-391-4998
Practice Address - Fax:810-337-9682
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-27
Last Update Date:2021-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health