Optimal Living Health Care

Primary specialty

Home Health AideTaxonomy code 374U00000X

Legal business name

OPTIMAL LIVING HEALTH CARE

Practice address

516 Liberty Hill Dr
Evergreen, AL 36401-2680

Phone

(770) 203-5095

NPI assigned

Dec 10, 2024

Organization subpart

No

Name

Lajuana James Jackson, LPN

Title

Owner

Phone

(770) 203-5095

Tax ID family

Optimal Living Health Care2 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.

• Optimal Living Health Care

  • Medical Specialty Clinic/Center
  • Evergreen, AL
  • NPI 1720894181
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 10, 2024.

{
    "created_epoch": "1733788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733788800000",
    "number": "1679389043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 DIGGS AVE",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366173311",
            "telephone_number": "770-203-5095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 LIBERTY HILL DR",
            "city": "EVERGREEN",
            "state": "AL",
            "postal_code": "364012680",
            "telephone_number": "770-203-5095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL LIVING HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-10",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A",
        "authorized_official_last_name": "JAMES JACKSON",
        "authorized_official_first_name": "LAJUANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-203-5095",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shundrea Montgomery, MSW
• Jamie L Murphy, MSW
• Candace Bullard Nelson, M.S.
• Douglas Patrick O'Connor, D.M.D.
• Aubrey Alan Odom, O.D.
• Optimal Living Health Care
• Chelsey Pettis
• Jessica Roberts Pierce, NP-C
• Tiffany Renee Porter
• Praesidium Medical Diagnostics and Screening

• All providers in Evergreen, AL
• Home Health Aide in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; 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.