Active NPI
Optuma Inc
- Community Based Hospice Care Agency
- Minneapolis, MN
National Provider Identifier
1568946663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- OPTUMA INC
- Doing business as
- OPTUMA HEALTH
- Practice address
- 2021 E Hennepin Ave Ste 193
Minneapolis, MN 55413-1773 - Phone
- (612) 282-9151
- NPI assigned
- Sep 24, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Faisal Deri
- Title
- Owner
- Phone
- (612) 282-9151
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
2021 E Hennepin Ave Ste 193
Minneapolis, MN 55413-1773
Mailing address
2021 E Hennepin Ave Ste 193
Minneapolis, MN 55413-1773
Phone (612) 282-9151
Other names 1
- OPTUMA HEALTH
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537747200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1537747200000",
"number": "1568946663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2021 E HENNEPIN AVE STE 193",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554131773",
"telephone_number": "612-282-9151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2021 E HENNEPIN AVE STE 193",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554131773",
"telephone_number": "612-282-9151"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPTUMA INC",
"organizational_subpart": "NO",
"enumeration_date": "2018-09-24",
"last_updated": "2018-09-24",
"status": "A",
"authorized_official_last_name": "DERI",
"authorized_official_first_name": "FAISAL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "612-282-9151"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "OPTUMA HEALTH",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.