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OPTIMOM HEALTHCARE LLC NPI 1730654021


NPI Information

NPI: 1730654021
Provider Name: OPTIMOM HEALTHCARE LLC

Doing Business As: OPTIMOM HEALTHCARE LLC

Classification: In Home Supportive Care - 253Z00000X
Entity Type: Organization
Address:
6119 KNOLLWEST DR
HOUSTON, TX
ZIP 77072
Phone: (832) 672-4903
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OPTIMOM HEALTHCARE LLC is an in home supportive care in Houston, TX. The provider is an In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. OPTIMOM HEALTHCARE LLC NPI is 1730654021. The provider is registered as an organization entity type.
The provider Is Doing Business As Optimom Healthcare Llc.

The provider's business location address is:

6119 KNOLLWEST DR
HOUSTON, TX
ZIP 77072-021
Phone: (832) 672-4903

The provider's authorized official is Samuel L Bangura .
The authorized official title is Chief Financial Officer and has the following contact phone number (281) 905-8277.

The enumeration date for this NPI number is 10/12/2018 and was last updated on 8/17/2020.


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
1253Z00000XIn Home Supportive CareYes

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
1648953782OTHERTEXASSECRETARY OF STATE
2HHS000004900867OTHERTEXAS001031105

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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