Organization Active NPI

Optimus Healthcare Agency LLC

  • Home Health Agency
  • Forest Park, GA
National Provider Identifier
1447640602
Registry record updated Jan 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
OPTIMUS HEALTHCARE AGENCY LLC
Practice address
228 Morrow Rd Apt 25C
1230 Peachtree St Suite 1900 Atlant Ga 30309
Forest Park, GA 30297-2822
Phone
(404) 437-0983
NPI assigned
Jan 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2015

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

Authorized official

Name
Jacqueline White
Title
Owner/Cna
Phone
(404) 437-0983

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X GA Primary

Addresses

Primary practice location

228 Morrow Rd Apt 25C
1230 Peachtree St Suite 1900 Atlant Ga 30309
Forest Park, GA 30297-2822

Mailing address

228 Morrow Rd Apt 25C
Forest Park, GA 30297-2822
Phone (404) 437-0983

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1422316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422316800000",
    "number": "1447640602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 MORROW RD APT 25C",
            "city": "FOREST PARK",
            "state": "GA",
            "postal_code": "302972822",
            "telephone_number": "404-437-0983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 MORROW RD APT 25C",
            "address_2": "1230 PEACHTREE ST SUITE 1900 ATLANT GA 30309",
            "city": "FOREST PARK",
            "state": "GA",
            "postal_code": "302972822",
            "telephone_number": "404-437-0983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUS HEALTHCARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-27",
        "last_updated": "2015-01-27",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "OWNER/CNA",
        "authorized_official_telephone_number": "404-437-0983"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Park, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2015; 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.