Organization Active NPI

Optim Health Services, Inc.

Doing business as Optim Health Services

  • Community Based Hospice Care Agency
  • Dallas, TX
National Provider Identifier
1033396957
Registry record updated May 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
OPTIM HEALTH SERVICES, INC.
Doing business as
Optim Health Services
Practice address
12300 Ford Rd
Suite B321
Dallas, TX 75234-7248
Phone
(469) 342-3320
Fax
(469) 521-1082
NPI assigned
Jan 22, 2008
Last updated
May 23, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2016

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

Authorized official

Name
Mr. Bradley Jonathan Harris
Title
Administrator
Phone
(469) 342-3320

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

12300 Ford Rd
Suite B321
Dallas, TX 75234-7248

Mailing address

12300 Ford Rd
Suite B321
Dallas, TX 75234-7248
Phone (469) 342-3320

Other names 1

  • Optim Health Services Doing business as

National Provider Directory

National Provider Directory

Locations

12300 Ford Rd
Ste B321
Dallas, TX 75234
Phone (469) 342-3320

NPI Registry JSON

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463961600000",
    "number": "1033396957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12300 FORD RD",
            "address_2": "SUITE B321",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752347248",
            "telephone_number": "469-342-3320",
            "fax_number": "469-521-1082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12300 FORD RD",
            "address_2": "SUITE B321",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752347248",
            "telephone_number": "469-342-3320",
            "fax_number": "469-521-1082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIM HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-22",
        "last_updated": "2016-05-23",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "JONATHAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "469-342-3320",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optim Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2016; 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.