Active NPI
Optimum Resource Services, LLC
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Largo, MD
National Provider Identifier
1922589654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Legal business name
- OPTIMUM RESOURCE SERVICES, LLC
- Practice address
- 711 Harry S. Truman Dr
Unit #105
Largo, MD 20774 - Phone
- (202) 740-0252
- NPI assigned
- Aug 21, 2018
- 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
- Mr. Gregory Bell, BS PSYCHOLOGY
- Title
- Chief Executive Officer
- Phone
- (202) 740-0252
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | MD | Primary |
Addresses
Primary practice location
711 Harry S. Truman Dr
Unit #105
Largo, MD 20774
Mailing address
711 Harry S. Truman Dr
Unit #105
Largo, MD 20774
Phone (202) 740-0252
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534809600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1534809600000",
"number": "1922589654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 HARRY S. TRUMAN DR",
"address_2": "UNIT #105",
"city": "LARGO",
"state": "MD",
"postal_code": "20774",
"telephone_number": "202-740-0252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 HARRY S. TRUMAN DR",
"address_2": "UNIT #105",
"city": "LARGO",
"state": "MD",
"postal_code": "20774",
"telephone_number": "202-740-0252"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPTIMUM RESOURCE SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-08-21",
"last_updated": "2018-08-21",
"status": "A",
"authorized_official_last_name": "BELL",
"authorized_official_first_name": "GREGORY",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "202-740-0252",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "BS PSYCHOLOGY"
},
"taxonomies": [
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "MD",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Largo, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.