Optimal Living Health Care

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

OPTIMAL LIVING HEALTH CARE

Practice address

516 Liberty Hill Dr
Evergreen, AL 36401-2680

Phone

(516) 451-6069

NPI assigned

Dec 10, 2024

Last updated

Dec 10, 2024By 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

Lajuana James Jackson, LPN

Title

Ceo

Phone

(770) 203-5095

Specialties & licenses 1

Addresses

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

  • Home Health Aide
  • Evergreen, AL
  • NPI 1679389043
  NPD tax ID

Locations

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

{
    "created_epoch": "1733788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733788800000",
    "number": "1720894181",
    "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": "516-451-6069"
        }
    ],
    "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": "CEO",
        "authorized_official_telephone_number": "770-203-5095",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 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
• Pulmonary Associates of Mobile, PC

• Medical Specialty Clinic/Center in Evergreen, AL
• Providers in Evergreen, AL by specialty
• Medical Specialty Clinic/Center 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.