Provider Demographics
NPI:1124771373
Name:OPTIMAL CARES HOME HEALTH LLC
Entity type:Organization
Organization Name:OPTIMAL CARES HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:AJOY
Authorized Official - Middle Name:
Authorized Official - Last Name:KHANDHERIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-359-7998
Mailing Address - Street 1:5148 PARADISE DR
Mailing Address - Street 2:
Mailing Address - City:CORTE MADERA
Mailing Address - State:CA
Mailing Address - Zip Code:94925-2106
Mailing Address - Country:US
Mailing Address - Phone:415-359-7998
Mailing Address - Fax:
Practice Address - Street 1:10830 N CENTRAL EXPY STE 375
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-2148
Practice Address - Country:US
Practice Address - Phone:469-902-4644
Practice Address - Fax:469-694-8438
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-28
Last Update Date:2024-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health