Optimal Homecare Services, Incorporated

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

OPTIMAL HOMECARE SERVICES, INCORPORATED

Practice address

282 Main St
Park Forest, IL 60466-2098

Phone

(708) 265-5855

Fax

(708) 265-5845

NPI assigned

Feb 1, 2018

Organization subpart

No

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

Authorized official

Name

Abimbola A Ojengbede, REGISTERED NURSE

Title

Agency Manager

Phone

(708) 265-5855

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Home health agency certification: CCN 148386

Legal name

OPTIMAL HOMECARE SERVICES INCORPORATED

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Feb 19, 2021

Last certification

Feb 19, 2021

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Apr 27, 2017 in IL

Enrollment address

1520 N Rock Run Dr
Unit 11
Crest Hill, IL 60403-3153

Listed as

Optimal Homecare Services IncorporatedCCN 148386 · All quality measures

Overall star rating

1 of 5

Ownership

Proprietary

Certified

Feb 19, 2021

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 3

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

Affiliated clinicians 3

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

• Bhavesh R Gandhi, MD

  • Family Medicine Physician
  • Joliet, IL
  • NPI 1417994013

  Home health agency

  Care Compare affiliation
• Mouhannad Kantar, M.D.

  • Family Medicine Physician
  • Joliet, IL
  • NPI 1710127576

  Home health agency

  Care Compare affiliation
• Bazgha Siddiqui, M.D

  • Infectious Disease Physician
  • Joliet, IL
  • NPI 1972776516

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1517443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638748800000",
    "number": "1083113344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "282 MAIN ST",
            "city": "PARK FOREST",
            "state": "IL",
            "postal_code": "604662098",
            "telephone_number": "708-265-5855",
            "fax_number": "708-265-5845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "282 MAIN ST",
            "city": "PARK FOREST",
            "state": "IL",
            "postal_code": "604662098",
            "telephone_number": "708-265-5855",
            "fax_number": "708-265-5845"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5258 Arquilla Dr",
            "address_purpose": "LOCATION",
            "city": "Richton Park",
            "state": "IL",
            "postal_code": "604711520",
            "country_code": "US",
            "telephone_number": "708-503-4070",
            "fax_number": "708-503-4062",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OPTIMAL HOMECARE SERVICES, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-01",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A",
        "authorized_official_last_name": "OJENGBEDE",
        "authorized_official_first_name": "ABIMBOLA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "AGENCY MANAGER",
        "authorized_official_telephone_number": "708-265-5855",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDPH LICENSE",
            "identifier": "1012002",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer N Nwosu
• Oakwoods Center
• Melrose Ogunleye
• Oluwatoyin Ogunsola
• Tenisha Oliver
• Optimal Homecare Services, Incorporated
• Our Bags of Love Foundation
• Olatokunbo Owokoniran
• Susan A Paca, M.D.
• Park Forest - Chicago Heights School District 163

• Home Health Agency in Park Forest, IL
• Providers in Park Forest, IL by specialty
• Home Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.