Optimum Healthcare Services, Inc. of Illinois

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

OPTIMUM HEALTHCARE SERVICES, INC. OF ILLINOIS

Practice address

6600 N Lincoln Ave Ste 415
Lincolnwood, IL 60712-3633

Phone

(773) 878-8738

Fax

(773) 878-8753

NPI assigned

Jul 5, 2006

Last updated

Feb 3, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sajid Ahmed Khan

Title

Owner

Phone

(773) 878-8738

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1699706838. Details of each certification follow.

• CCN 147816 Home health agency · Active · Details

Home health agency certification: CCN 147816

Legal name

OPTIMUM HEALTHCARE SERVICES, INC. OF ILLINOIS

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jul 14, 2005

Last certification

Jul 5, 2019

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Apr 29, 2004 in IL

Enrollment address

6600 N Lincoln Ave
Ste 415
Lincolnwood, IL 60712-3633

Listed as

Optimum Healthcare Services, Inc of IlCCN 147816 · All quality measures

Overall star rating

2.5 of 5

Ownership

Proprietary

Certified

Jul 14, 2005

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Locations

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Florita Cordero Lopez, MD

  • Hospitalist Physician
  • Montgomeryville, PA
  • NPI 1376700385
  NPD (past)

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Prith M Goomar, M.D.

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1255347811

  Home health agency

  Care Compare affiliation
• Frank Howard Parker, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Matteson, IL
  • NPI 1457388928

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675382400000",
    "number": "1699706838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 N LINCOLN AVE STE 415",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607123633",
            "telephone_number": "773-878-8738",
            "fax_number": "773-878-8753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 N LINCOLN AVE STE 415",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607123633",
            "telephone_number": "773-878-8738",
            "fax_number": "773-878-8753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM HEALTHCARE SERVICES, INC. OF ILLINOIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2023-02-03",
        "certification_date": "2023-02-03",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "SAJID",
        "authorized_official_middle_name": "AHMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-878-8738"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Lincolnwood, IL
• Providers in Lincolnwood, IL by specialty
• Home Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.