Organization Active NPI

Optima Health Care Inc.

  • Home Health Agency
  • Catonsville, MD
National Provider Identifier
1619425485
Registry record updated Sep 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
R2611 Issued in MD
Legal business name
OPTIMA HEALTH CARE INC.
Practice address
7103 Upper Mills Cir
Catonsville, MD 21228-2416
Phone
(443) 794-4339
Fax
(410) 788-3517
NPI assigned
Sep 21, 2016
Last updated
Sep 21, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2016

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

Authorized official

Name
Abiola Ikotun
Title
Administrator
Phone
(443) 794-4339

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X R2611 MD Primary

Addresses

Primary practice location

7103 Upper Mills Cir
Catonsville, MD 21228-2416

Mailing address

7103 Upper Mills Cir
Catonsville, MD 21228-2416
Phone (443) 794-4339

Other identifiers 1

IdentifierTypeStateIssuer
243003700MedicaidMD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1474416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474416000000",
    "number": "1619425485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7103 UPPER MILLS CIR",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212282416",
            "telephone_number": "443-794-4339",
            "fax_number": "410-788-3517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7103 UPPER MILLS CIR",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212282416",
            "telephone_number": "443-794-4339",
            "fax_number": "410-788-3517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMA HEALTH CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-21",
        "last_updated": "2016-09-21",
        "status": "A",
        "authorized_official_last_name": "IKOTUN",
        "authorized_official_first_name": "ABIOLA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "443-794-4339"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MD",
            "license": "R2611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "243003700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Catonsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2016; 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.