Organization Active NPI

Optimum in-Home Aide Agency LLC

  • In Home Supportive Care Agency
  • St Petersburg, FL
National Provider Identifier
1396468831
Registry record updated Sep 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
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

Updated by the provider on Sep 20, 2022

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.