Organization Active NPI

Optimal Care at Home

  • In Home Supportive Care Agency
  • Lake Worth, FL
National Provider Identifier
1073124392
Registry record updated Nov 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
OPTIMAL CARE AT HOME
Practice address
5072 Arbor Glen Cir
Lake Worth, FL 33463-8041
Phone
(561) 485-1241
NPI assigned
Aug 11, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2020

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

Authorized official

Name
Rose Celian
Title
Client Care Liaisons
Phone
(561) 485-1241

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

5072 Arbor Glen Cir
Lake Worth, FL 33463-8041

Mailing address

5072 Arbor Glen Cir
Lake Worth, FL 33463-8041
Phone (561) 485-1241

Other identifiers 1

IdentifierTypeStateIssuer
107723200MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1597104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605052800000",
    "number": "1073124392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5072 ARBOR GLEN CIR",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334638041",
            "telephone_number": "561-485-1241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5072 ARBOR GLEN CIR",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334638041",
            "telephone_number": "561-485-1241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL CARE AT HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-11",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-11",
        "status": "A",
        "authorized_official_last_name": "CELIAN",
        "authorized_official_first_name": "ROSE",
        "authorized_official_title_or_position": "CLIENT CARE LIAISONS",
        "authorized_official_telephone_number": "561-485-1241"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107723200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2020; 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.