Active NPI
Optimal Homecare Services, Incorporated
- Homemaker
- Park Forest, IL
National Provider Identifier
1972273241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Homemaker
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Homemaker | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3001585 | Other | IL | ILLINOIS DEPARTMENT OF PUBLIC HEALTH |
National Provider Directory
National Provider DirectoryLocations
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.