Organization Active NPI

Optimum Home Healthcare Inc

  • Home Health Agency
  • Woodland Hills, CA
National Provider Identifier
1013046416
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
OPTIMUM HOME HEALTHCARE INC
Practice address
20121 Ventura Blvd
Suite 302
Woodland Hills, CA 91364-2546
Phone
(818) 888-5889
Fax
(818) 888-5852
NPI assigned
Mar 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2023

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

Authorized official

Name
Felicidad A Isaga
Title
Ceo
Phone
(818) 888-5889

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

20121 Ventura Blvd
Suite 302
Woodland Hills, CA 91364-2546

Mailing address

20121 Ventura Blvd
Suite 302
Woodland Hills, CA 91364-2546
Phone (818) 888-5889

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070316000457 CA Part A Provider - Home Health Agency 3971606625 Practice locations: Woodland Hills, CA

Home health agency certification: CCN 059045

Legal name
OPTIMUM HOME HEALTHCARE, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 6, 2009
Last certification
Feb 23, 2018
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Sep 25, 2006 in CA
Enrollment address
20121 Ventura Blvd
Ste 302
Woodland Hills, CA 91364-2559

Care Compare: Home health agency

Medicare Care Compare
Listed as
Optimum Home Healthcare, IncCCN 059045
Overall star rating
1.5 of 5
Ownership
Proprietary
Certified
Apr 6, 2009
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

20121 Ventura Blvd
Ste 302
Woodland Hills, CA 91364
Phone (818) 888-5889

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Felicidad a. Isaga Individual 5% Or Greater Direct Ownership InterestCeo-Administrator Mar 6, 2008 100%
Corporate OfficerCeo-Administrator Mar 8, 2008 51%
Corporate DirectorBoard Member Mar 8, 2008
W-2 Managing EmployeeCeo-Administrator Mar 6, 2008 51%

Practitioners & affiliated clinicians

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1172966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685491200000",
    "number": "1013046416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20121 VENTURA BLVD",
            "address_2": "SUITE 302",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642546",
            "telephone_number": "818-888-5889",
            "fax_number": "818-888-5852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20121 VENTURA BLVD",
            "address_2": "SUITE 302",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642546",
            "telephone_number": "818-888-5889",
            "fax_number": "818-888-5852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM HOME HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-04",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A",
        "authorized_official_last_name": "ISAGA",
        "authorized_official_first_name": "FELICIDAD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-888-5889"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

Verify at the official NPI Registry.