Active NPI
Optima Homehealth Care
- Home Health Agency
- Indianapolis, IN
National Provider Identifier
1740543735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 120127531
- Legal business name
- OPTIMA HOMEHEALTH CARE
- Practice address
- 6350 Westhaven Dr Ste E
Indianapolis, IN 46254-2731 - Phone
- (317) 293-0900
- Fax
- (317) 293-0901
- NPI assigned
- Jun 25, 2012
- 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
- Dr. Jude Jimmy Momodu, MD
- Title
- Chief Executive Officer
- Phone
- (317) 293-0900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 120127531 | IN | Primary |
Addresses
Primary practice location
6350 Westhaven Dr Ste E
Indianapolis, IN 46254-2731
Mailing address
6350 Westhaven Dr Ste E
Indianapolis, IN 46254-2731
Phone (317) 293-0900
National Provider Directory
National Provider DirectoryLocations
6350 Westhaven Dr
Ste E
Indianapolis, IN 46254
Phone (317) 293-0900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340582400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1340582400000",
"number": "1740543735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6350 WESTHAVEN DR STE E",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462542731",
"telephone_number": "317-293-0900",
"fax_number": "317-293-0901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6350 WESTHAVEN DR STE E",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462542731",
"telephone_number": "317-293-0900",
"fax_number": "317-293-0901"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPTIMA HOMEHEALTH CARE",
"organizational_subpart": "NO",
"enumeration_date": "2012-06-25",
"last_updated": "2012-06-25",
"status": "A",
"authorized_official_last_name": "MOMODU",
"authorized_official_first_name": "JUDE",
"authorized_official_middle_name": "JIMMY",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "317-293-0900",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "IN",
"license": "120127531",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.