NPIMap

Organization Active NPI

Optimum Care Home LLC

  • In Home Supportive Care Agency
  • Forney, TX
National Provider Identifier
1003655291
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
OPTIMUM CARE HOME LLC
Practice address
1620 Pegasus Dr
Forney, TX 75126-1337
Phone
(469) 269-9972
NPI assigned
May 20, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Authorized official

Name
Chinwendu Peace Onwusor, RNNPI 1104649631
Title
RN
Phone
(469) 269-9972

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
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1620 Pegasus Dr
Forney, TX 75126-1337

Mailing address

1620 Pegasus Dr
Forney, TX 75126-1337
Phone (469) 269-9972

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1716163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716163200000",
    "number": "1003655291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 PEGASUS DR",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "751261337",
            "telephone_number": "469-269-9972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 PEGASUS DR",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "751261337",
            "telephone_number": "469-269-9972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM CARE HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-20",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A",
        "authorized_official_last_name": "ONWUSOR",
        "authorized_official_first_name": "CHINWENDU",
        "authorized_official_middle_name": "PEACE",
        "authorized_official_title_or_position": "RN",
        "authorized_official_telephone_number": "469-269-9972",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; 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.