Active NPI
Optum Infusion Services 203, Inc.
- Home Health Agency
- Miami Lakes, FL
National Provider Identifier
1619258480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- OPTUM INFUSION SERVICES 203, INC.
- Practice address
- 7850 NW 146TH St Ste 513
Miami Lakes, FL 33016-1516 - Phone
- (786) 972-3210
- Fax
- (855) 407-1229
- NPI assigned
- Sep 7, 2011
- 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
- Kimberley Williams
- Title
- Compliance Analyst / Paralegal
- Phone
- (913) 335-6786
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
7850 NW 146TH St Ste 513
Miami Lakes, FL 33016-1516
Mailing address
7850 NW 146TH St Ste 513
Miami Lakes, FL 33016-1516
Phone (786) 972-3210
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 299993920 | Other | FL | HOME HEALTH AGENCY |
National Provider Directory
National Provider Directory- Tax ID family
- Optum Infusion Services
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Infusion Therapy Pharmacy
- Miramar, FL
- NPI 1831281146
Locations
7765 NW 48th St
Ste 320
Doral, FL 33166
7850 NW 146th St
Ste 513
Miami Lakes, FL 33016
Phone (786) 972-3210
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315353600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1594598400000",
"number": "1619258480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7850 NW 146TH ST STE 513",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330161516",
"telephone_number": "786-972-3210",
"fax_number": "855-407-1229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7850 NW 146TH ST STE 513",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330161516",
"telephone_number": "786-972-3210",
"fax_number": "855-407-1229"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPTUM INFUSION SERVICES 203, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2011-09-07",
"last_updated": "2020-07-13",
"certification_date": "2020-07-13",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "KIMBERLEY",
"authorized_official_title_or_position": "COMPLIANCE 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": "HOME HEALTH AGENCY",
"identifier": "299993920",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami Lakes, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.