Organization Active NPI

Optimum Home Care Inc.

  • In Home Supportive Care Agency
  • Pembroke, NC
National Provider Identifier
1467145318
Registry record updated May 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
OPTIMUM HOME CARE INC.
Practice address
75 Nancy LN
Pembroke, NC 28372-9217
Phone
(910) 734-3818
NPI assigned
May 29, 2023
Last updated
May 29, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2023

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

Authorized official

Name
Mr. Keaton C Oxendine
Title
Representative
Phone
(910) 734-3818

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

75 Nancy LN
Pembroke, NC 28372-9217

Mailing address

PO Box 2486
Pembroke, NC 28372-2486
Phone (910) 734-3818

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1685318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685318400000",
    "number": "1467145318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2486",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "283722486",
            "telephone_number": "910-734-3818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 NANCY LN",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "283729217",
            "telephone_number": "910-734-3818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM HOME CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-29",
        "last_updated": "2023-05-29",
        "certification_date": "2023-05-27",
        "status": "A",
        "authorized_official_last_name": "OXENDINE",
        "authorized_official_first_name": "KEATON",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "REPRESENTATIVE",
        "authorized_official_telephone_number": "910-734-3818",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2023; 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.