Organization Active NPI

Optima Professional Services Inc.

  • Home Health Agency
  • Murphy, TX
National Provider Identifier
1063536035
Registry record updated Sep 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
004423 Issued in TX
Legal business name
OPTIMA PROFESSIONAL SERVICES INC.
Practice address
1217 Willow Point Dr
Murphy, TX 75094-4184
Phone
(972) 487-0965
Fax
(972) 487-0989
NPI assigned
Mar 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2018

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

Authorized official

Name
Mrs. Juliana Chinyere Asonye
Title
Administrator
Phone
(972) 487-0965

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 004423 TX Primary

Addresses

Primary practice location

1217 Willow Point Dr
Murphy, TX 75094-4184

Mailing address

1217 Willow Point Dr
Murphy, TX 75094-4184
Phone (972) 487-0965

Other names 1

  • Optima Home Health Services Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120216000256 TX Part A Provider - Home Health Agency 3274791512 Practice locations: Murphy, TX

Home health agency certification: CCN 458486

Legal name
OPTIMA PROFESSIONAL SERVICES INC.
Doing business as
WINNOLAS SYSTEMS, INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 27, 1995
Last certification
Mar 5, 2018
Ownership / control type
Proprietary
Organization structure
CorporationNon-profit
Incorporated
Jan 24, 1996 in TX
Enrollment address
1217 Willow Point Drive
Murphy, TX 75094-4184

Care Compare: Home health agency

Medicare Care Compare
Listed as
Optima Home Health ServicesCCN 458486
Ownership
Proprietary
Certified
Jul 27, 1995
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, 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
45D0908683Optima Home Health Services1217 Willow Point Dr, Murphy, TX 75094Certificate of waiverFeb 19, 2028

National Provider Directory

National Provider Directory

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
Juliana Asonye Individual 5% Or Greater Direct Ownership Interest Jul 15, 1995
Operational/Managerial Control Jul 15, 1995

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538092800000",
    "number": "1063536035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 WILLOW POINT DR",
            "city": "MURPHY",
            "state": "TX",
            "postal_code": "750944184",
            "telephone_number": "972-487-0965",
            "fax_number": "972-487-0989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 WILLOW POINT DR",
            "city": "MURPHY",
            "state": "TX",
            "postal_code": "750944184",
            "telephone_number": "972-487-0965",
            "fax_number": "972-487-0989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMA PROFESSIONAL SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2018-09-28",
        "status": "A",
        "authorized_official_last_name": "ASONYE",
        "authorized_official_first_name": "JULIANA",
        "authorized_official_middle_name": "CHINYERE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "972-487-0965",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "004423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optima Home Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Murphy, TX

Sources for this page

Verify at the official NPI Registry.