Optimal Community Support Service ,LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

OPTIMAL COMMUNITY SUPPORT SERVICE ,LLC

Practice address

1304 Cliffwood Dr
Greensboro, NC 27406-4107

Phone

(336) 312-2614

NPI assigned

Nov 20, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Michael Edward Harris, EDD

Title

Agency Director

Phone

(336) 312-2614

Specialties & licenses 1

Addresses

Other names 1

• Optimal Community Support Services,LLC Doing business as

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

{
    "created_epoch": "1700438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700438400000",
    "number": "1497520407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 CLIFFWOOD DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274064107",
            "telephone_number": "336-312-2614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 CLIFFWOOD DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274064107",
            "telephone_number": "336-312-2614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL COMMUNITY SUPPORT SERVICE ,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-20",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "AGENCY DIRECTOR",
        "authorized_official_telephone_number": "336-312-2614",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "EDD"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optimal Community Support Services,LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Open Arms Personal Care
• Open Arms Treatment Center Inc
• Opticsplus Inc
• Optimal Health, PLLC
• Optimus Healthcare PLLC
• Optimus Medical Group, PLLC
• Brenda Alexandra Ordonez Salas, NP
• Organization to Provide Equal Access to Technology

• Home Health Agency in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Home Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.