Organization Active NPI

Optimal Wellness 365 LLC

  • Nursing Care Agency
  • Horn Lake, MS
National Provider Identifier
1417424391
Registry record updated Oct 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
OPTIMAL WELLNESS 365 LLC
Practice address
4375 Highway 51 N Apt 25-201
Horn Lake, MS 38637-8720
Phone
(662) 902-0173
NPI assigned
Oct 29, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2018

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

Authorized official

Name
Ms. Almarie Calvin, REGISTERED NURSE
Title
Owner
Phone
(662) 902-0173

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X Primary

Addresses

Primary practice location

4375 Highway 51 N Apt 25-201
Horn Lake, MS 38637-8720

Mailing address

4375 Highway 51 N Apt 25-201
Horn Lake, MS 38637-8720
Phone (662) 902-0173

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1540771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540771200000",
    "number": "1417424391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4375 HIGHWAY 51 N APT 25-201",
            "city": "HORN LAKE",
            "state": "MS",
            "postal_code": "386378720",
            "telephone_number": "662-902-0173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4375 HIGHWAY 51 N APT 25-201",
            "city": "HORN LAKE",
            "state": "MS",
            "postal_code": "386378720",
            "telephone_number": "662-902-0173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL WELLNESS 365 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-29",
        "last_updated": "2018-10-29",
        "status": "A",
        "authorized_official_last_name": "CALVIN",
        "authorized_official_first_name": "ALMARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-902-0173",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Horn Lake, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2018; 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.