Organization Active NPI

Optimal Home Care, LLC

  • In Home Supportive Care Agency
  • Surprise, AZ
National Provider Identifier
1144593229
Registry record updated Feb 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
OPTIMAL HOME CARE, LLC
Practice address
15282 W Brookside LN
Suite 110
Surprise, AZ 85374-2447
Phone
(602) 466-7570
Fax
(602) 466-7507
NPI assigned
Feb 20, 2012
Organization subpart
Yes
Parent organization
AFFINITY HOLDINGS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 20, 2012

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

Authorized official

Name
Darrell Dierks, RN, MBA
Title
President
Phone
(602) 466-7570

Specialties & licenses 1

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

Addresses

Primary practice location

15282 W Brookside LN
Suite 110
Surprise, AZ 85374-2447

Mailing address

15282 W Brookside LN
Suite 110
Surprise, AZ 85374-2447

Other names 1

  • Optimal Health Care Doing business as

National Provider Directory

National Provider Directory
Part of
Affinity Holdings LLC

Locations

15282 W Brookside Ln
Ste 110
Surprise, AZ 85374
Phone (602) 466-7570

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1329696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329696000000",
    "number": "1144593229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15282 W BROOKSIDE LN",
            "address_2": "SUITE 110",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853742447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15282 W BROOKSIDE LN",
            "address_2": "SUITE 110",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853742447",
            "telephone_number": "602-466-7570",
            "fax_number": "602-466-7507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL HOME CARE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AFFINITY HOLDINGS, LLC",
        "enumeration_date": "2012-02-20",
        "last_updated": "2012-02-20",
        "status": "A",
        "authorized_official_last_name": "DIERKS",
        "authorized_official_first_name": "DARRELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-466-7570",
        "authorized_official_credential": "RN, MBA"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optimal Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Surprise, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2012; 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.