NPIMap

Organization Active NPI

Optimal Health Care Inc

  • Home Health Agency
  • Carlsbad, CA
National Provider Identifier
1053741017
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
OPTIMAL HEALTH CARE INC
Practice address
5927 Balfour CT Ste 205
Carlsbad, CA 92008-7377
Phone
(800) 689-5049
Fax
(800) 689-5049
NPI assigned
Nov 12, 2013
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Ngoc Phi
Title
Coo/Secretary
Phone
(800) 689-5049

Affiliated clinicians 225

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

View all 225

Care Compare: Home health agency

Medicare Care Compare
Listed as
Archer Health IncCCN 053124
Overall star rating
5 of 5
Ownership
Proprietary
Certified
Jun 27, 2017
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2128956Optimal Health Care Inc22151 Ventura Blvd Ste 207, Woodland Hills, CA 91364Certificate of waiverApr 9, 2027

Medicare participation

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

Home health agency certification: CCN 053124

Medicare enrollment files
Legal name
OPTIMAL HEALTH CARE INC
Doing business as
ARCHER HEALTH, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 27, 2017
Last certification
Jan 22, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Aug 29, 2013 in CA
Enrollment address
22151 Ventura Blvd
Ste 207
Woodland Hills, CA 91364-1665
HHA Branch

All disclosed owners & managing parties 2

Medicare enrollment files

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

NameRoleSinceShare
Arash Tootoonchi Individual 5% Or Greater Direct Ownership Interest Sep 17, 2021 70%
W-2 Managing EmployeeCeo Sep 17, 2021 70%
Ngoc Ngan T Phi Individual 5% Or Greater Direct Ownership Interest Sep 17, 2021 30%
W-2 Managing EmployeeCoo Sep 17, 2021 30%

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20140103001115 CA Part a Provider - Home Health Agency 4284862889 Practice locations: Woodland Hills, CA

National Provider Directory

National Provider Directory

Locations

5927 Balfour Ct
Ste 205
Carlsbad, CA 92008
Phone (800) 689-5049

18345 Ventura Blvd
Ste 303
Tarzana, CA 91356
Phone (818) 345-4547

5530 Corbin Ave
Ste 125
Tarzana, CA 91356
Phone (818) 609-2663

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

5927 Balfour CT Ste 205
Carlsbad, CA 92008-7377

Mailing address

5927 Balfour CT Ste 205
Carlsbad, CA 92008-7377
Phone (800) 689-5049

Other names 1

NPPES NPI Registry
  • Archer Health, Inc. Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 12, 2024.

{
    "created_epoch": "1384214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710201600000",
    "number": "1053741017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5927 BALFOUR CT STE 205",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920087377",
            "telephone_number": "800-689-5049",
            "fax_number": "800-689-5049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5927 BALFOUR CT STE 205",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920087377",
            "telephone_number": "800-689-5049",
            "fax_number": "800-689-5049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-12",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A",
        "authorized_official_last_name": "PHI",
        "authorized_official_first_name": "NGOC",
        "authorized_official_title_or_position": "COO/SECRETARY",
        "authorized_official_telephone_number": "800-689-5049"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Archer Health, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carlsbad, CA

Sources for this page

Verify at the official NPI Registry.