Organization Active NPI

Optima Homehealth Care

  • Home Health Agency
  • Indianapolis, IN
National Provider Identifier
1740543735
Registry record updated Jun 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
120127531 Issued in IN
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

Updated by the provider on Jun 25, 2012

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.