NPIMap

Organization Active NPI

Optimum Healthcare

  • In Home Supportive Care Agency
  • Greenville, SC
National Provider Identifier
1497075121
Registry record updated Nov 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
OPTIMUM HEALTHCARE
Practice address
622A Old Easley Hwy
Greenville, SC 29611-6521
Phone
(864) 992-3883
NPI assigned
Jun 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2019

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

Authorized official

Name
Mrs. Tonya BryantNPI 1568355105
Title
Owner
Phone
(864) 992-3883

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X SC
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

622A Old Easley Hwy
Greenville, SC 29611-6521

Mailing address

622A Old Easley Hwy
Greenville, SC 29611-6521
Phone (864) 552-1114

National Provider Directory

National Provider Directory
Tax ID family
Optimum Healthcare2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

622A Old Easley Hwy
Greenville, SC 29611
Phone (864) 552-1114

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1275609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574640000000",
    "number": "1497075121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622A OLD EASLEY HWY",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296116521",
            "telephone_number": "864-552-1114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622A OLD EASLEY HWY",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296116521",
            "telephone_number": "864-992-3883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-04",
        "last_updated": "2019-11-25",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "TONYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-992-3883",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "SC",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2019; 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.