Optimum Community Care LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

OPTIMUM COMMUNITY CARE LLC

Practice address

315 Lisbon St
Lewiston, ME 04240-7303

Phone

(207) 344-9899

NPI assigned

Sep 20, 2021

Last updated

Sep 20, 2021By 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

Mr. Abdihakim Abdi, DSP

Title

Ceo

Phone

(207) 344-9899

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1632096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632096000000",
    "number": "1336819325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1773",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042411773",
            "telephone_number": "207-344-9899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 LISBON ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407303",
            "telephone_number": "207-344-9899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM COMMUNITY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-20",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A",
        "authorized_official_last_name": "ABDI",
        "authorized_official_first_name": "ABDIHAKIM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "207-344-9899",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DSP"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Orthopedic & Spine Physical Therapy of L/a Inc.

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Lewiston, ME
• Providers in Lewiston, ME by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2021; 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.