Organization Active NPI

Optum Infusion Services 203, Inc.

  • Home Health Agency
  • Miami Lakes, FL
National Provider Identifier
1619258480
Registry record updated Jul 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Jul 13, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
299993920OtherFLHOME HEALTH AGENCY

National Provider Directory

National Provider Directory
Tax ID family
Optum Infusion Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

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.

Verify at the official NPI Registry.