Active NPI
Optimom Healthcare LLC
- In Home Supportive Care Agency
- Houston, TX
National Provider Identifier
1730654021
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- OPTIMOM HEALTHCARE LLC
- Doing business as
- Optimom HealthCare LLC
- Practice address
- 10101 Harwin Dr Ste 322
Houston, TX 77036-1686 - Phone
- (281) 513-0068
- Fax
- (281) 416-4735
- NPI assigned
- Oct 12, 2018
- Last updated
- Dec 30, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Samuel L Bangura, OWNER
- Title
- Chief Financial Officer
- Phone
- (281) 905-8277
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | NU | ||
| Adult Care Home Facility | 311ZA0620X | NU | ||
| Personal Care Attendant | 3747P1801X | NU | ||
| In Home Supportive Care Agency | 253Z00000X | NU | Primary |
Addresses
Primary practice location
10101 Harwin Dr Ste 322
Houston, TX 77036-1686
Mailing address
6119 Knollwest Dr
Houston, TX 77072-1021
Phone (832) 672-4903
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HHS000004900867 | Other | TX | 001031105 |
| 648953782 | Other | TX | SECRETARY OF STATE |
Other names 1
- Optimom HealthCare LLC
National Provider Directory
National Provider DirectoryLocations
10101 Harwin Dr
Ste 322
Houston, TX 77036
Phone (713) 777-6484
Practitioners & affiliated clinicians
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.
-
- Public Health or Welfare Agency
- Houston, TX
- NPI 1437646676
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539302400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1767052800000",
"number": "1730654021",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6119 KNOLLWEST DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770721021",
"telephone_number": "832-672-4903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10101 HARWIN DR STE 322",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770361686",
"telephone_number": "281-513-0068",
"fax_number": "281-416-4735"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPTIMOM HEALTHCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-10-12",
"last_updated": "2025-12-30",
"certification_date": "2025-12-30",
"status": "A",
"authorized_official_last_name": "BANGURA",
"authorized_official_first_name": "SAMUEL",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "281-905-8277",
"authorized_official_credential": "OWNER"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "001031105",
"identifier": "HHS000004900867",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SECRETARY OF STATE",
"identifier": "648953782",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Optimom HealthCare LLC",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Optimom HealthCare LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Houston, TX
- Optimistic Healthcare Solutions LLC (OHC Medical Supply)
- Optimistic Healthcare Solutions LLC
- Optimistic Healthcare Solutions LLC
- Optimistic Healthcare Solutions LLC (OHC Pharmacy)
- Optimize Mind Care, LLC
- Optimum Ambulatory Health PLLC
- Optimum Care EMS, LLC
- Optimum Care LLC
- Optimum Care Services, LLC (Optimum Care Services)
- Optimum Care Systems LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.