Provider Demographics
NPI:1801577630
Name:OPTIMAL HOME CARE LLC
Entity type:Organization
Organization Name:OPTIMAL HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ABDIRISAK
Authorized Official - Middle Name:
Authorized Official - Last Name:SUGULE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-966-9226
Mailing Address - Street 1:5900 ROCHE DR STE 425
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-3293
Mailing Address - Country:US
Mailing Address - Phone:614-966-9226
Mailing Address - Fax:
Practice Address - Street 1:5900 ROCHE DR STE 425
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-3293
Practice Address - Country:US
Practice Address - Phone:614-966-9226
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-25
Last Update Date:2023-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health