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OPTIMAL HOMECARE SERVICES INCORPORATED NPI 1083113344


NPI Information

NPI: 1083113344
Provider Name: OPTIMAL HOMECARE SERVICES, INCORPORATED
Classification: Home Health - 251E00000X
Entity Type: Organization

CLIA Number: 14D2194490

Address:
282 MAIN ST
PARK FOREST, IL
ZIP 60466
Phone: (708) 265-5855
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OPTIMAL HOMECARE SERVICES, INCORPORATED is a home health in Park Forest, IL. The provider is a public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. OPTIMAL HOMECARE SERVICES, INCORPORATED NPI is 1083113344. The provider is registered as an organization entity type.

The provider's business location address is:

282 MAIN ST
PARK FOREST, IL
ZIP 60466-098
Phone: (708) 265-5855
Fax: (708) 265-5845

The provider's authorized official is Abimbola A Ojengbede .
The authorized official title is Agency Manager and has the following contact phone number (708) 265-5855.

The CLIA number assigned to this NPI record is 14D2194490 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/1/2018 and was last updated on 12/6/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251E00000XHome HealthYes
2374U00000XHome Health AideNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11012002OTHERILLINOISIDPH LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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