Optivacare LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

OPTIVACARE LLC

Practice address

650 Main St
South Portland, ME 04106-5448

Phone

(612) 598-2673

NPI assigned

Dec 9, 2024

Last updated

Dec 9, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Camaar AbdulkadirNPI 1770302648

Title

Co Owner

Phone

(612) 598-2673

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Camaar Abdulkadir

  • Behavior Technician
  • Saint Paul, MN
  • NPI 1770302648
  NPD Authorized official

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

{
    "created_epoch": "1733702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733702400000",
    "number": "1932915436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 BARRINGTON TER",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554431717",
            "telephone_number": "612-598-2673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 MAIN ST",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041065448",
            "telephone_number": "612-598-2673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIVACARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-09",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A",
        "authorized_official_last_name": "ABDULKADIR",
        "authorized_official_first_name": "CAMAAR",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "612-598-2673"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Occupational Health Centers of the Southwest PA (Concentra Medical Center)
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• Jonathan Frank Olmes, OD
• Kenneth Olson, LCPC
• Jaymie Elisabeth Oppenheim, LCSW
• Oral & Maxillofacial Surgery Associates PA (Oral Surgery Associates PA)
• Carole Orem-Hough, PH.D.
• James Christopher Ortengren, D.D.S.
• Orthodontic Associates PA
• Russell Ouellett

• Home Health Agency in South Portland, ME
• Providers in South Portland, ME by specialty
• Home Health Agency in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.