Organization Active NPI

Optimal Homecare Services, Incorporated

  • Homemaker
  • Park Forest, IL
National Provider Identifier
1972273241
Registry record updated Dec 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
HomemakerTaxonomy code 376J00000X
Legal business name
OPTIMAL HOMECARE SERVICES, INCORPORATED
Practice address
282 Main St
Park Forest, IL 60466-2098
Phone
(708) 265-5845
NPI assigned
Sep 17, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2021

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

Authorized official

Name
Mrs. Abimbola A Ojengbede, REGISTERED NURSE
Title
Agency Manager
Phone
(708) 265-5855

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
HomemakerGroup: 193400000X SINGLE SPECIALTY GROUP 376J00000X Primary

Addresses

Primary practice location

282 Main St
Park Forest, IL 60466-2098

Mailing address

282 Main St
Park Forest, IL 60466-2098
Phone (708) 265-5845

Other identifiers 1

IdentifierTypeStateIssuer
3001585OtherILILLINOIS DEPARTMENT OF PUBLIC HEALTH

National Provider Directory

National Provider Directory

Locations

282 Main St
Park Forest, IL 60466
Phone (708) 265-5845

NPI Registry JSON

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

{
    "created_epoch": "1631836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638748800000",
    "number": "1972273241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "282 MAIN ST",
            "city": "PARK FOREST",
            "state": "IL",
            "postal_code": "604662098",
            "telephone_number": "708-265-5845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "282 MAIN ST",
            "city": "PARK FOREST",
            "state": "IL",
            "postal_code": "604662098",
            "telephone_number": "708-265-5845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL HOMECARE SERVICES, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-17",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A",
        "authorized_official_last_name": "OJENGBEDE",
        "authorized_official_first_name": "ABIMBOLA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "AGENCY MANAGER",
        "authorized_official_telephone_number": "708-265-5855",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS DEPARTMENT OF PUBLIC HEALTH",
            "identifier": "3001585",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Park Forest, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2021; 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.