Organization Active NPI

Optimum Health Home Care LLC

  • Pediatric Skilled Nursing Facility
  • Atlanta, GA
National Provider Identifier
1750255337
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X
Legal business name
OPTIMUM HEALTH HOME CARE LLC
Practice address
3340 Peachtree Rd NE
Atlanta, GA 30326-1000
Phone
(877) 380-1808
NPI assigned
Oct 6, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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

Authorized official

Name
Ayan Jama, LPN, OWNER
Title
Manager
Phone
(612) 267-7704

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Skilled Nursing Facility 3140N1450X Primary

Addresses

Primary practice location

3340 Peachtree Rd NE
Atlanta, GA 30326-1000

Mailing address

1635 Whisperwood TRL
Stone Mountain, GA 30088-1813
Phone (877) 380-1808

National Provider Directory

National Provider Directory

Locations

3340 Peachtree Rd NE
Atlanta, GA 30326
Phone (833) 222-8437

NPI Registry JSON

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

{
    "created_epoch": "1759708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759708800000",
    "number": "1750255337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 WHISPERWOOD TRL",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300881813",
            "telephone_number": "877-380-1808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3340 PEACHTREE RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303261000",
            "telephone_number": "877-380-1808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM HEALTH HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-06",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-05",
        "status": "A",
        "authorized_official_last_name": "JAMA",
        "authorized_official_first_name": "AYAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "612-267-7704",
        "authorized_official_credential": "LPN, OWNER"
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.

Verify at the official NPI Registry.