A1 Optimum Health Logistics LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

A1 OPTIMUM HEALTH LOGISTICS LLC

Practice address

195 W 9 Mile Rd Ste 207
Ferndale, MI 48220-1750

Phone

(313) 522-4058

NPI assigned

Oct 1, 2020

Last updated

Oct 1, 2020By 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

Touria KingNPI 1699651547

Title

Administrator

Phone

(313) 522-4058

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Touria King

  • Home Health Aide
  • Detroit, MI
  • NPI 1699651547
  NPD Authorized official
• Dequindra Elise Blakey, NP

  • Family Nurse Practitioner
  • Detroit, MI
  • NPI 1417303355
  NPD (past)

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

{
    "created_epoch": "1601510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601510400000",
    "number": "1326645565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 W 9 MILE RD STE 207",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482201750",
            "telephone_number": "313-522-4058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 W 9 MILE RD STE 207",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482201750",
            "telephone_number": "313-522-4058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A1 OPTIMUM HEALTH LOGISTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-01",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "TOURIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "313-522-4058"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nurse Practitioner in Ferndale, MI
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2020; 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.