NPIMap

Organization Active NPI

Optimal Health Home Care LLC

  • Personal Care Attendant
  • Mansfield, TX
National Provider Identifier
1003449893
Registry record updated Jul 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Legal business name
OPTIMAL HEALTH HOME CARE LLC
Practice address
2140 Highway 157 N
Mansfield, TX 76063-4847
Phone
(817) 813-8055
Fax
(817) 753-0100
NPI assigned
Feb 19, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Liselotte Addea-Amoako, APRNNPI 1518208784
Title
Owner
Phone
(817) 779-4805

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care AttendantGroup: 193400000X SINGLE SPECIALTY GROUP 3747P1801X Primary

Addresses

Primary practice location

2140 Highway 157 N
Mansfield, TX 76063-4847

Mailing address

2140 Highway 157 N
Mansfield, TX 76063-4847
Phone (817) 813-8055

Other identifiers 1

IdentifierTypeStateIssuer
019799OtherTXTEXAS HEALTH AND HUMAN SERVICES COMMISSION

Other names 1

  • OPITMAL HEALTH HOME CARE Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1582070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595548800000",
    "number": "1003449893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 HIGHWAY 157 N",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760634847",
            "telephone_number": "817-813-8055",
            "fax_number": "817-753-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 HIGHWAY 157 N",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760634847",
            "telephone_number": "817-813-8055",
            "fax_number": "817-753-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL HEALTH HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-19",
        "last_updated": "2020-07-24",
        "certification_date": "2020-07-24",
        "status": "A",
        "authorized_official_last_name": "ADDEA-AMOAKO",
        "authorized_official_first_name": "LISELOTTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-779-4805",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS HEALTH AND HUMAN SERVICES COMMISSION",
            "identifier": "019799",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OPITMAL HEALTH HOME CARE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "OPITMAL HEALTH HOME CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mansfield, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.