Organization Active NPI

Optum Infusion Services 205, Inc.

  • Home Health Agency
  • Ocala, FL
National Provider Identifier
1578718581
Registry record updated Jan 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
OPTUM INFUSION SERVICES 205, INC.
Practice address
2800 E Silver Springs Blvd Ste 201
Ocala, FL 34470-7057
Phone
(352) 622-4148
Fax
(855) 381-5543
NPI assigned
Nov 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2020

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

Authorized official

Name
Kimberley Williams
Title
Conpliance Analyst/ Paralegal
Phone
(913) 335-6786

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2800 E Silver Springs Blvd Ste 201
Ocala, FL 34470-7057

Mailing address

15529 College Blvd.
Lenexa, KS 66219-1351
Phone (877) 342-9352

Other identifiers 1

IdentifierTypeStateIssuer
HHA299993419OtherFLHHA299993419

National Provider Directory

National Provider Directory
Tax ID family
Optum Infusion Services 205 Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

2800 E Silver Springs Blvd
Ste 201
Ocala, FL 34470
Phone (352) 622-4148

202 SW 17th St
Ste C
Ocala, FL 34471
Phone (352) 622-4148

NPI Registry JSON

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

{
    "created_epoch": "1227052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578268800000",
    "number": "1578718581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15529 COLLEGE BLVD.",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662191351",
            "telephone_number": "877-342-9352",
            "fax_number": "877-542-9352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 E SILVER SPRINGS BLVD STE 201",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344707057",
            "telephone_number": "352-622-4148",
            "fax_number": "855-381-5543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTUM INFUSION SERVICES 205, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-19",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "KIMBERLEY",
        "authorized_official_title_or_position": "CONPLIANCE ANALYST/ PARALEGAL",
        "authorized_official_telephone_number": "913-335-6786"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HHA299993419",
            "identifier": "HHA299993419",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2020; 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.