Active NPI
Optimum in-Home Aide Agency LLC
- In Home Supportive Care Agency
- St Petersburg, FL
National Provider Identifier
1396468831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- OPTIMUM IN-HOME AIDE AGENCY LLC
- Practice address
- 3801 Park St N
St Petersburg, FL 33709-4078 - Phone
- (414) 704-9031
- NPI assigned
- Sep 20, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Johnna Scott
- Title
- Owner
- Phone
- (414) 704-9031
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| In Home Supportive Care Agency | 253Z00000X | Primary | ||
| Respite Care | 385H00000X | |||
| Child Physical Disabilities Respite Care | 385HR2065X |
Addresses
Primary practice location
3801 Park St N
St Petersburg, FL 33709-4078
Mailing address
420 79TH Ter N Apt 211
St Petersburg, FL 33702-4371
Phone (414) 704-9031
Other names 1
- Optimum Home Care of Florida
National Provider Directory
National Provider DirectoryLocations
3801 Park St N
St Petersburg, FL 33709
Phone (414) 704-9031
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663632000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1663632000000",
"number": "1396468831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 79TH TER N APT 211",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337024371",
"telephone_number": "414-704-9031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3801 PARK ST N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337094078",
"telephone_number": "414-704-9031"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPTIMUM IN-HOME AIDE AGENCY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-20",
"last_updated": "2022-09-20",
"certification_date": "2022-09-20",
"status": "A",
"authorized_official_last_name": "SCOTT",
"authorized_official_first_name": "JOHNNA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "414-704-9031"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "385HR2065X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Physical Disabilities, Child",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Optimum Home Care of Florida",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.