Optivida Care Services
Organization Active NPI In Home Supportive Care Agency · Waveland, MS
NPI 1033036637 · NPPES record last updated Jul 2, 2026
Key facts
- NPI
- 1033036637
- Entity type
- Organization (NPI type 2)
- Primary specialty
- In Home Supportive Care Agency 253Z00000X
- Legal business name
- OPTIVIDA CARE SERVICES
- Practice address
- 226 Pompano St
Waveland, MS 39576-3136 - Phone
- (800) 574-6030
- NPI assigned
- Jul 2, 2026
- Organization subpart
- No
Authorized official
- Name
- Shannon M Whavers
- Title
- VP
- Phone
- (800) 574-6030
National Provider Directory
Locations
4780 I 55 N
Ste 100
Jackson, MS 39211
Phone (318) 490-8825
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Yes |
Addresses
Primary practice location
226 Pompano St
Waveland, MS 39576-3136
Mailing address
4780 I 55 N Ste 100
Jackson, MS 39211-5583
Phone (800) 574-6030
Other providers in Waveland, MS
- Annie Thi Nguyen
- Khanh Nguyen
- Thanh N Nguyen
- Tram H Nguyen
- Trang Thi Nguyen
- Natisha Reynoso
- Rose Rowden
- Sharon Angels Homecare LLC
- Sharon Angels Lab LLC
- Southern Care Solutions LLC
All providers in Waveland, MS · In Home Supportive Care Agency in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 2, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.