Active NPI
Optimum Care Centers, LLC.
- Multi-Specialty Clinic/Center
- Indianapolis, IN
National Provider Identifier
1124268131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- OPTIMUM CARE CENTERS, LLC.
- Practice address
- 418 E 30TH St
Indianapolis, IN 46205-3909 - Phone
- (317) 641-2026
- NPI assigned
- Mar 3, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Chukwuemeka Kelechi Chidebelu-Eze, D.C.
- Title
- C.E.O.
- Phone
- (317) 641-2026
Specialties & licenses 14
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | 08002356A | IN | |
| Meals Provider | 174200000X | |||
| Lodging Provider | 177F00000X | |||
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | |||
| Case Management Agency | 251B00000X | |||
| Home Health Agency | 251E00000X | |||
| Community/Behavioral Health Agency | 251S00000X | |||
| Clinic/Center | 261Q00000X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | Primary | ||
| Mobile Radiology Clinic/Center | 261QR0208X | |||
| Research Clinic/Center | 261QR1100X | |||
| Rural Health Clinic/Center | 261QR1300X | |||
| Clinical Medical Laboratory | 291U00000X | |||
| Medical Foods Supplier | 335G00000X |
Addresses
Primary practice location
418 E 30TH St
Indianapolis, IN 46205-3909
Mailing address
3421 Lee Rd
Snellville, GA 30039-5621
Phone (317) 641-2026
Other practice location 1
3421 Lee Rd
Snellville, GA 30039-5621
Phone (317) 641-2026
National Provider Directory
National Provider DirectoryLocations
418 E 30th St
Indianapolis, IN 46205
Phone (317) 641-2026
3361 N Pennsylvania St
Indianapolis, IN 46205
Phone (317) 924-9595
2625 N Meridian St
Ste 21
Indianapolis, IN 46208
Phone (317) 285-0004
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236038400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1626220800000",
"number": "1124268131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3421 LEE RD",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "300395621",
"telephone_number": "317-641-2026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "418 E 30TH ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462053909",
"telephone_number": "317-641-2026"
}
],
"practiceLocations": [
{
"address_1": "3421 Lee Rd",
"address_purpose": "LOCATION",
"city": "Snellville",
"state": "GA",
"postal_code": "300395621",
"country_code": "US",
"telephone_number": "317-641-2026",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "OPTIMUM CARE CENTERS, LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-03-03",
"last_updated": "2021-07-14",
"certification_date": "2021-07-14",
"status": "A",
"authorized_official_last_name": "CHIDEBELU-EZE",
"authorized_official_first_name": "CHUKWUEMEKA",
"authorized_official_middle_name": "KELECHI",
"authorized_official_title_or_position": "C.E.O.",
"authorized_official_telephone_number": "317-641-2026",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Chiropractor, Rehabilitation",
"state": "IN",
"license": "08002356A",
"primary": false
},
{
"code": "174200000X",
"taxonomy_group": "",
"desc": "Meals",
"state": null,
"license": null,
"primary": false
},
{
"code": "177F00000X",
"taxonomy_group": "",
"desc": "Lodging",
"state": null,
"license": null,
"primary": false
},
{
"code": "2081P2900X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QR0208X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology, Mobile",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR1100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Research",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rural Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": false
},
{
"code": "335G00000X",
"taxonomy_group": "",
"desc": "Medical Foods Supplier",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
- Optima Homehealth Care
- Optimal Comfort Inc.
- Optimal Dialysis
- Optimal Home Care LLC
- Optimal Wellness Center of Indiana, L.L.C.
- Optimum Care Professionals (Home Care)
- Optimum Health Care Professionals (home health)
- Optimum Healthcare, LLC
- Options Treatment Acquisition Corporation (Options Behavioral Health System)
- Options Treatment Acquisition Corporation (Options Behavioral Health System)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.