Optimum Solution Home Health LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

OPTIMUM SOLUTION HOME HEALTH LLC

Practice address

10570 S US Highway 1 Ste 300
Port Saint Lucie, FL 34952-5606

Phone

(772) 877-2222

NPI assigned

Oct 25, 2022

Organization subpart

No

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

Authorized official

Name

Yvena Vixamar, RN

Title

Director

Phone

(772) 212-1183

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Home health agency certification: CCN 687399

Legal name

OPTIMUM SOLUTION HOME HEALTH LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Dec 9, 2024

Last certification

Nov 19, 2024

Organization structure

LLCProprietary

Incorporated

May 20, 2022 in FL

Enrollment address

10570 S US Hwy 1, Suite 300-Unit 60
Port Saint Lucie, FL 34952

Listed as

Optimum Solution Home Health, LLCCCN 687399 · All quality measures

Ownership

-

Certified

Dec 9, 2024

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1666656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710201600000",
    "number": "1265159636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10570 S US HIGHWAY 1 STE 300",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349525606",
            "telephone_number": "772-212-1183",
            "fax_number": "772-212-1283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10570 S US HIGHWAY 1 STE 300",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349525606",
            "telephone_number": "772-877-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM SOLUTION HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-25",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A",
        "authorized_official_last_name": "VIXAMAR",
        "authorized_official_first_name": "YVENA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "772-212-1183",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.