OPTIMUMCARE HOSPICE INC NPI 1104316660

NPI Information

NPI: 1104316660
Provider Name: OPTIMUMCARE HOSPICE, INC
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 45D2156357

Address:
8402 WOODWARD ST STE B
HOUSTON, TX
ZIP 77051
Phone: (281) 974-2075
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OPTIMUMCARE HOSPICE, INC is a hospice care community based in Houston, TX. OPTIMUMCARE HOSPICE, INC NPI is 1104316660. The provider is registered as an organization entity type.

The provider's business location address is:

8402 WOODWARD ST STE B
HOUSTON, TX
ZIP 77051-332
Phone: (281) 974-2075
Fax: (281) 783-2282

The provider's authorized official is Modupe Okunsanya .
The authorized official title is Don/administrator and has the following contact phone number (281) 974-2075.

The CLIA number assigned to this NPI record is 45D2156357 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/10/2018 and was last updated on 5/10/2018.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251G00000X	Hospice Care, Community Based			TEXAS	Yes

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: 11/14/2023

NPI Synchronization or Removal

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