Organization Active NPI

Optimum in Home Care LLC

  • In Home Supportive Care Agency
  • Petersburg, VA
National Provider Identifier
1386365955
Registry record updated Sep 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
OPTIMUM IN HOME CARE LLC
Practice address
919 Rosewood Ter
Petersburg, VA 23805-1434
Phone
(804) 546-9335
NPI assigned
Sep 12, 2022
Last updated
Sep 12, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2022

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

Authorized official

Name
Tasha Elanda Athey
Title
Owner/President
Phone
(804) 546-9335

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU
Community Based Hospice Care Agency 251G00000X NU
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

919 Rosewood Ter
Petersburg, VA 23805-1434

Mailing address

919 Rosewood Ter
Petersburg, VA 23805-1434
Phone (804) 546-9335

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address optimuminhomecare@outlook.com Direct

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662940800000",
    "number": "1386365955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 ROSEWOOD TER",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238051434",
            "telephone_number": "804-546-9335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 ROSEWOOD TER",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238051434",
            "telephone_number": "804-546-9335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM IN HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-12",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-11",
        "status": "A",
        "authorized_official_last_name": "ATHEY",
        "authorized_official_first_name": "TASHA",
        "authorized_official_middle_name": "ELANDA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "804-546-9335"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "optimuminhomecare@outlook.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "919 Rosewood Ter",
            "city": "Petersburg",
            "state": "VA",
            "country_code": "US",
            "postal_code": "238051434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Petersburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; 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.