Organization Active NPI

Optima Home Health Agency

  • Home Health Agency
  • Silver Spring, MD
National Provider Identifier
1487990990
Registry record updated Jan 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
NSA0245 Issued in DC
Legal business name
OPTIMA HOME HEALTH AGENCY
Practice address
1111 Spring St Ste 210
Silver Spring, MD 20910-4003
Phone
(301) 357-9637
NPI assigned
Jan 2, 2013
Last updated
Jan 2, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2013

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

Authorized official

Name
Mr. Ulric Ayo Boyle
Title
Managing Director
Phone
(301) 357-9637

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NSA0245 DC Primary

Addresses

Primary practice location

1111 Spring St Ste 210
Silver Spring, MD 20910-4003

Mailing address

1111 Spring St Ste 210
Silver Spring, MD 20910-4003
Phone (301) 357-9637

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1357084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357084800000",
    "number": "1487990990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 SPRING ST STE 210",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209104003",
            "telephone_number": "301-357-9637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 SPRING ST STE 210",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209104003",
            "telephone_number": "301-357-9637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMA HOME HEALTH AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-02",
        "last_updated": "2013-01-02",
        "status": "A",
        "authorized_official_last_name": "BOYLE",
        "authorized_official_first_name": "ULRIC",
        "authorized_official_middle_name": "AYO",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "301-357-9637",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "DC",
            "license": "NSA0245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2013; 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.