Optimus Health Care Inc

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

License

0200 Issued in CT

Legal business name

OPTIMUS HEALTH CARE INC

Doing business as

Ralphola Taylor Community Center

Practice address

790 Central Ave
Bridgeport, CT 06607-1705

Phone

(203) 332-4567

Fax

(203) 332-0376

NPI assigned

Dec 30, 2011

Last updated

Dec 30, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ludwig Spinelli

Title

Chief Executive Officer

Phone

(203) 696-3260

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Ralphola Taylor Community Center Doing business as

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

{
    "created_epoch": "1325203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325203200000",
    "number": "1174893648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "982 E MAIN ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066081913",
            "telephone_number": "203-696-3260",
            "fax_number": "203-332-0376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 CENTRAL AVE",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066071705",
            "telephone_number": "203-332-4567",
            "fax_number": "203-332-0376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUS HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-30",
        "last_updated": "2011-12-30",
        "status": "A",
        "authorized_official_last_name": "SPINELLI",
        "authorized_official_first_name": "LUDWIG",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "203-696-3260"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "CT",
            "license": "0200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART B",
            "identifier": "C00383",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004234788",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ralphola Taylor Community Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Miracle Chinonso Oparah, M.D.
• Roseberthe Opont
• Annabel Adwoa Marfoa Oppong
• Optimus Health Care
• Optimus Health Care
• Optimus Health Care Inc (Hollow Community Health Center)
• Optimus Health Care Inc
• Optimus Health Care Inc (JP Morgan Chase Wellness Center)
• Optimus Health Care Inc
• Optimus Health Care Inc

• Federally Qualified Health Center (FQHC) in Bridgeport, CT
• Providers in Bridgeport, CT by specialty
• Federally Qualified Health Center (FQHC) in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2011; 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.