Optimal Living Center

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

FCL-032-101 Issued in NC

Legal business name

OPTIMAL LIVING CENTER

Practice address

3217 Dearborn Dr
Durham, NC 27704-2344

Phone

(919) 201-3265

Fax

(919) 596-6866

NPI assigned

Jul 9, 2010

Organization subpart

Yes

Parent organization

OPTIMAL HEALTH SERVICES INCAs reported in NPPES

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

Authorized official

Name

Patience C Ndikom, RN

Title

Administrator

Phone

(919) 596-6811

Specialties & licenses 1

Addresses

Tax ID family

Optimal Living Center2 organizations share this tax ID, including this one

Part of

Optimal Living Center

Other organizations with this tax ID 1

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

• Ideal Home Health Services, Inc

  • In Home Supportive Care Agency
  • Durham, NC
  • NPI 1578613097
  NPD tax ID

Locations

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

{
    "created_epoch": "1278633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278633600000",
    "number": "1295047033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 E CLUB BLVD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277044622",
            "telephone_number": "919-596-6811",
            "fax_number": "919-596-6866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3217 DEARBORN DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277042344",
            "telephone_number": "919-201-3265",
            "fax_number": "919-596-6866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL LIVING CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OPTIMAL HEALTH SERVICES INC",
        "enumeration_date": "2010-07-09",
        "last_updated": "2010-07-09",
        "status": "A",
        "authorized_official_last_name": "NDIKOM",
        "authorized_official_first_name": "PATIENCE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "919-596-6811",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "FCL-032-101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chukwuemeka Onwuzurumba, MD
• David Onyiego, PMHNP BC
• Opans, LLC
• April Opoka, DONA TRAINED DOULA
• Robert Joseph Optican, MD
• Optimum Community Outreach, Inc
• Optimum Performance Training Center
• Optix Eyecare Center OD PLLC
• Optometric Center, P.a.
• Optometric Eye Care Center of Durham PA

• Adult Care Home Facility in Durham, NC
• Providers in Durham, NC by specialty
• Adult Care Home Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2010; 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.