Organization Active NPI

Optimum Personal Care & Sitters

  • Home Health Agency
  • Jackson, MS
National Provider Identifier
1083158406
Registry record updated Dec 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
OPTIMUM PERSONAL CARE & SITTERS
Practice address
4520 N State St
Jackson, MS 39206-5307
Phone
(601) 259-4602
Fax
(769) 572-5714
NPI assigned
Dec 5, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2016

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

Authorized official

Name
Mr. Carnell Kitchens, M.A
Title
Owner
Phone
(601) 259-4602

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X MS Primary

Addresses

Primary practice location

4520 N State St
Jackson, MS 39206-5307

Mailing address

PO Box 83040
Jackson, MS 39283-3040
Phone (601) 259-4602

National Provider Directory

National Provider Directory
Tax ID family
Optimum Personal Care Sitters2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1480896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480896000000",
    "number": "1083158406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 83040",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392833040",
            "telephone_number": "601-259-4602",
            "fax_number": "769-572-5714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4520 N STATE ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392065307",
            "telephone_number": "601-259-4602",
            "fax_number": "769-572-5714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM PERSONAL CARE & SITTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-05",
        "last_updated": "2016-12-05",
        "status": "A",
        "authorized_official_last_name": "KITCHENS",
        "authorized_official_first_name": "CARNELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-259-4602",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2016; 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.