Organization Active NPI

Optmial Living Home Health Care LLC

  • Home Health Agency
  • Hazelwood, MO
National Provider Identifier
1972320315
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
OPTMIAL LIVING HOME HEALTH CARE LLC
Practice address
818 Mary Jo LN
Hazelwood, MO 63042-1731
Phone
(314) 717-3456
NPI assigned
Sep 25, 2024
Last updated
Sep 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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

Authorized official

Name
Adrienne Denee Morris
Title
Owner
Phone
(314) 717-3456

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

818 Mary Jo LN
Hazelwood, MO 63042-1731

Mailing address

818 Mary Jo LN
Hazelwood, MO 63042-1731
Phone (314) 717-3456

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1727222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727222400000",
    "number": "1972320315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 MARY JO LN",
            "city": "HAZELWOOD",
            "state": "MO",
            "postal_code": "630421731",
            "telephone_number": "314-717-3456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 MARY JO LN",
            "city": "HAZELWOOD",
            "state": "MO",
            "postal_code": "630421731",
            "telephone_number": "314-717-3456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTMIAL LIVING HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-25",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "ADRIENNE",
        "authorized_official_middle_name": "DENEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-717-3456"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazelwood, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.