Organization Active NPI

Optimal Care, LLC

  • Nurse Practitioner
  • Bingham Farms, MI
National Provider Identifier
1811242019
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
OPTIMAL CARE, LLC
Doing business as
Optimal Home Care and Hospice
Practice address
24255 W 13 Mile Rd Ste 250
Bingham Farms, MI 48025-4322
Phone
(248) 723-9613
Fax
(248) 723-9615
NPI assigned
Jul 13, 2012
Reactivated
Sep 21, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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

Authorized official

Name
Erik Wilson, DNP
Title
President
Phone
(248) 723-9613

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X Primary
Clinical Nurse SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 364S00000X

Addresses

Primary practice location

24255 W 13 Mile Rd Ste 250
Bingham Farms, MI 48025-4322

Mailing address

24255 W 13 Mile Rd Ste 250
Bingham Farms, MI 48025-4322
Phone (248) 723-9613

Other names 1

  • Optimal Home Care and Hospice Doing business as

National Provider Directory

National Provider Directory

Locations

30600 Telegraph Rd
Ste 3275
Bingham Farms, MI 48025
Phone (248) 723-9613

NPI Registry JSON

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

{
    "created_epoch": "1342137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720656000000",
    "number": "1811242019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24255 W 13 MILE RD STE 250",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254322",
            "telephone_number": "248-723-9613",
            "fax_number": "248-723-9615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24255 W 13 MILE RD STE 250",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254322",
            "telephone_number": "248-723-9613",
            "fax_number": "248-723-9615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-13",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "deactivation_date": "2022-08-26",
        "reactivation_date": "2022-09-21",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "ERIK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-723-9613",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "364S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optimal Home Care and Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bingham Farms, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.