Provider Demographics
NPI:1285604082
Name:OPTIMAL HOME CARE INC.
Entity type:Organization
Organization Name:OPTIMAL HOME CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS SUPERVISOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CARMELO
Authorized Official - Middle Name:
Authorized Official - Last Name:CALINGO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-488-9999
Mailing Address - Street 1:4380 S SYRACUSE ST STE 600
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80237-2691
Mailing Address - Country:US
Mailing Address - Phone:303-488-9999
Mailing Address - Fax:303-484-2441
Practice Address - Street 1:4380 S SYRACUSE ST STE 600
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80237-2691
Practice Address - Country:US
Practice Address - Phone:303-488-9999
Practice Address - Fax:303-484-2441
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-24
Last Update Date:2024-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO20041431582251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA067453Medicare ID - Type UnspecifiedHOME HEALTH PROVIDER NUM