Optimum Home Care of Florida LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

OPTIMUM HOME CARE OF FLORIDA LLC

Practice address

420 79TH Ter N Apt 211
St Petersburg, FL 33702-4371

Phone

(414) 704-9031

NPI assigned

Feb 16, 2022

Organization subpart

No

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

Authorized official

Name

Frederick Shorter Jr.

Title

Managing Partner

Phone

(414) 704-9031

Specialties & licenses 3

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1644969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644969600000",
    "number": "1831844935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 79TH TER N APT 210",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337024371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 79TH TER N APT 211",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337024371",
            "telephone_number": "414-704-9031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM HOME CARE OF FLORIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-16",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A",
        "authorized_official_last_name": "SHORTER",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "414-704-9031",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Email",
            "affiliation": "N",
            "endpointDescription": "Secure email",
            "address_1": "420 79th Ter N Apt 211",
            "city": "St Petersburg",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337024371",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Optumcare Florida LLC
• Ana C Oquendo, MD

• Home Health Agency in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; 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.