Active NPI
Optimum Health Care Professionals
Doing business as home health
- Home Health Agency
- Indianapolis, IN
National Provider Identifier
1053143180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- OPTIMUM HEALTH CARE PROFESSIONALS
- Doing business as
- home health
- Practice address
- 2521 Broadway St
Indianapolis, IN 46205-4239 - Phone
- (877) 840-4406
- NPI assigned
- Aug 16, 2024
- Last updated
- Oct 31, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Demetria McClinon, DEMETRIA MCCLINON
- Title
- President
- Phone
- (877) 840-4406
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | NU | Primary |
Addresses
Primary practice location
2521 Broadway St
Indianapolis, IN 46205-4239
Mailing address
PO Box 18014
Indianapolis, IN 46218-0014
Phone (877) 840-4406
Other names 1
- home health
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723766400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730332800000",
"number": "1053143180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 18014",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462180014",
"telephone_number": "877-840-4406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2521 BROADWAY ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462054239",
"telephone_number": "877-840-4406"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPTIMUM HEALTH CARE PROFESSIONALS",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-16",
"last_updated": "2024-10-31",
"certification_date": "2024-10-31",
"status": "A",
"authorized_official_last_name": "MCCLINON",
"authorized_official_first_name": "DEMETRIA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "877-840-4406",
"authorized_official_credential": "DEMETRIA MCCLINON"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "home health",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Indianapolis, IN
- Optimal Dialysis
- Optimal Home Care LLC
- Optimal Wellness Center of Indiana, L.L.C.
- Optimum Care Centers, LLC.
- Optimum Care Professionals (Home Care)
- Optimum Healthcare, LLC
- Options Treatment Acquisition Corporation (Options Behavioral Health System)
- Options Treatment Acquisition Corporation (Options Behavioral Health System)
- Options Treatment Acquisition Corporation (Options Behavioral Health System)
- Options Treatment Acquisition Corporation (Options Behavioral Health System)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.