Organization Active NPI

Optimal Care Residential Service Agency,LLC

  • In Home Supportive Care Agency
  • Chesapeake, VA
National Provider Identifier
1326281916
Registry record updated Apr 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
OPTIMAL CARE RESIDENTIAL SERVICE AGENCY,LLC
Practice address
4604 Steeton CT
Chesapeake, VA 23321-6207
Phone
(757) 483-2075
Fax
(757) 369-7004
NPI assigned
Apr 12, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2009

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

Authorized official

Name
Renee Y Greene, RN
Title
Co-Director
Phone
(757) 483-2075

Specialties & licenses 1

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

Addresses

Primary practice location

4604 Steeton CT
Chesapeake, VA 23321-6207

Mailing address

4604 Steeton CT
Chesapeake, VA 23321-6207
Phone (757) 483-2075

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1239494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239494400000",
    "number": "1326281916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4604 STEETON CT",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233216207",
            "telephone_number": "757-483-2075",
            "fax_number": "757-369-7004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4604 STEETON CT",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233216207",
            "telephone_number": "757-483-2075",
            "fax_number": "757-369-7004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL CARE RESIDENTIAL SERVICE AGENCY,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-12",
        "last_updated": "2009-04-12",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "CO-DIRECTOR",
        "authorized_official_telephone_number": "757-483-2075",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2009; 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.