NPIMap

Organization Active NPI

Optimum Staffing Services LLC

Doing business as Optimum Home Health Agency

  • Home Health Agency
  • Clearwater, FL
National Provider Identifier
1164296570
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
OPTIMUM STAFFING SERVICES LLC
Doing business as
Optimum Home Health Agency
Practice address
2451 N McMullen Booth Rd FL 2
Clearwater, FL 33759-1356
Phone
(813) 330-8424
Fax
(813) 359-9270
NPI assigned
Nov 7, 2023
Last updated
Nov 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

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

Authorized official

Name
Gladys Kanodereka
Title
Manager
Phone
(813) 655-4949

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2451 N McMullen Booth Rd FL 2
Clearwater, FL 33759-1356

Mailing address

2451 N McMullen Booth Rd FL 2
Clearwater, FL 33759-1356
Phone (813) 330-8424

Other names 1

  • Optimum Home Health Agency Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Optimum Home Health Agency5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

2451 N McMullen Booth Rd
Fl 2
Clearwater, FL 33759
Phone (813) 330-8424

NPI Registry JSON

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

{
    "created_epoch": "1699315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699315200000",
    "number": "1164296570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2451 N MCMULLEN BOOTH RD FL 2",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337591356",
            "telephone_number": "813-330-8424",
            "fax_number": "813-359-9270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 N MCMULLEN BOOTH RD FL 2",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337591356",
            "telephone_number": "813-330-8424",
            "fax_number": "813-359-9270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM STAFFING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-07",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A",
        "authorized_official_last_name": "KANODEREKA",
        "authorized_official_first_name": "GLADYS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "813-655-4949"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optimum Home Health Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; 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.