Provider Demographics
NPI:1275335606
Name:OPTIMUM CARE CORPORATION LLC
Entity type:Organization
Organization Name:OPTIMUM CARE CORPORATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:DAILEY
Authorized Official - Suffix:JR
Authorized Official - Credentials:MS
Authorized Official - Phone:614-537-5377
Mailing Address - Street 1:676 BROOK HOLW STE 102
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43230-6276
Mailing Address - Country:US
Mailing Address - Phone:614-537-5377
Mailing Address - Fax:
Practice Address - Street 1:676 BROOK HOLW STE 102
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43230-6276
Practice Address - Country:US
Practice Address - Phone:614-537-5377
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-26
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No385H00000XRespite Care FacilityRespite Care