Optimum Kids Care LLC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

OPTIMUM KIDS CARE LLC

Practice address

8932 Old Cedar Ave S Ste 200
Bloomington, MN 55425-2049

Phone

(612) 423-0012

NPI assigned

Jun 14, 2023

Last updated

Jun 25, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ziyad Rashid Oumer

Title

Ceo

Phone

(612) 423-0001

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719273600000",
    "number": "1508540154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8932 OLD CEDAR AVE S STE 200",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554252049",
            "telephone_number": "612-423-0012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8932 OLD CEDAR AVE S STE 200",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554252049",
            "telephone_number": "612-423-0012"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "497 Humboldt Ave",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551072866",
            "country_code": "US",
            "telephone_number": "612-423-0001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OPTIMUM KIDS CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-14",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A",
        "authorized_official_last_name": "OUMER",
        "authorized_official_first_name": "ZIYAD",
        "authorized_official_middle_name": "RASHID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "612-423-0001"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gwendolyn Onumah-Onikoro, LICSW
• Susan Marie Opperman, LICSW
• Opportunity Partners Inc. (Lavine Place)
• Optage Inc (Founders Ridge)
• Optimedicus LLC
• Options Residential, Inc
• Options Residential, Inc
• Options Residential, Inc
• Optum Behavioral Care of Colorado, P.C. (Care Counseling of Minnesota)
• Eleanor K Orehek, M.D.

• Early Intervention Provider Agency in Bloomington, MN
• Providers in Bloomington, MN by specialty
• Early Intervention Provider Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; 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.