Provider Demographics
NPI:1366735573
Name:TEAM OPTIMUM HOME HEALTH LLC
Entity type:Organization
Organization Name:TEAM OPTIMUM HOME HEALTH LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT-CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:T
Authorized Official - Last Name:DESIMIO
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:979-277-9935
Mailing Address - Street 1:707 S AUSTIN ST
Mailing Address - Street 2:
Mailing Address - City:BRENHAM
Mailing Address - State:TX
Mailing Address - Zip Code:77833-4124
Mailing Address - Country:US
Mailing Address - Phone:978-251-9100
Mailing Address - Fax:979-251-9111
Practice Address - Street 1:707 S AUSTIN ST
Practice Address - Street 2:
Practice Address - City:BRENHAM
Practice Address - State:TX
Practice Address - Zip Code:77833-4124
Practice Address - Country:US
Practice Address - Phone:978-251-9100
Practice Address - Fax:979-251-9111
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-20
Last Update Date:2013-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health