Optum Infusion Services 205, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

OPTUM INFUSION SERVICES 205, INC

Practice address

21301 Powerline Rd Ste 206
Boca Raton, FL 33433-2390

Phone

(561) 314-0644

Fax

(855) 407-1229

NPI assigned

Sep 14, 2009

Organization subpart

No

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

Authorized official

Name

Kimberley Williams

Title

Compliance Analyst / Parlaegal

Phone

(913) 335-6786

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Optum Infusion Services 205 Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Optum Infusion Services 205, Inc

  • Home Health Agency
  • Tallahassee, FL
  • NPI 1790009256
  NPD tax ID
• Optum Infusion Services 205, Inc.

  • Home Health Agency
  • Ocala, FL
  • NPI 1578718581
  NPD tax ID

Locations

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

{
    "created_epoch": "1252886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578268800000",
    "number": "1396078036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15529 COLLEGE BLVD.",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662191351",
            "telephone_number": "877-342-9352",
            "fax_number": "877-542-9352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21301 POWERLINE RD STE 206",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334332390",
            "telephone_number": "561-314-0644",
            "fax_number": "855-407-1229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTUM INFUSION SERVICES 205, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-14",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "KIMBERLEY",
        "authorized_official_title_or_position": "COMPLIANCE ANALYST / PARLAEGAL",
        "authorized_official_telephone_number": "913-335-6786"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HHA299993649",
            "identifier": "299993649",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Optimal Medical Group
• Optimum Care Plus, Inc
• Optimum Medical Supplies LLC
• Optimum Physical Therapy, LLC
• Options Mobility, LLC
• Tamunomiebaka Opuiyo, RDMS, CPHT
• Oral Facial Implant Center of Boca Raton PA
• Philip Reid Oranburg, MD
• Catherine Ordonez
• Jay S Oremland, D.D.S.

• Home Health Agency in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.