Organization Active NPI

Optimal Home Health LLC

Doing business as Comfort Keepers

  • In Home Supportive Care Agency
  • Plymouth, MI
National Provider Identifier
1982353314
Registry record updated Mar 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
OPTIMAL HOME HEALTH LLC
Doing business as
Comfort Keepers
Practice address
981 N Mill St
Plymouth, MI 48170-1425
Phone
(850) 791-6700
NPI assigned
Mar 22, 2022
Last updated
Mar 22, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2022

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

Authorized official

Name
Michael Kruckeberg
Title
Ceo
Phone
(248) 321-2430

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

981 N Mill St
Plymouth, MI 48170-1425

Mailing address

981 N Mill St
Plymouth, MI 48170-1425
Phone (850) 791-6700

Other names 1

  • Comfort Keepers Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Comfort Keepers2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

981 N Mill St
Plymouth, MI 48170
Phone (734) 624-2312

NPI Registry JSON

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

{
    "created_epoch": "1647907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647907200000",
    "number": "1982353314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "981 N MILL ST",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481701425",
            "telephone_number": "850-791-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "981 N MILL ST",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481701425",
            "telephone_number": "850-791-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-22",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A",
        "authorized_official_last_name": "KRUCKEBERG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "248-321-2430"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comfort Keepers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plymouth, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2022; 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.