Provider Demographics
NPI:1396938783
Name:OPTIMUM HOME HEALTH CARE INC
Entity type:Organization
Organization Name:OPTIMUM HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:L
Authorized Official - Last Name:DE VERA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:708-422-7340
Mailing Address - Street 1:2720 S RIVER RD STE 202
Mailing Address - Street 2:
Mailing Address - City:DES PLAINES
Mailing Address - State:IL
Mailing Address - Zip Code:60018-4111
Mailing Address - Country:US
Mailing Address - Phone:708-422-7340
Mailing Address - Fax:708-422-7348
Practice Address - Street 1:2720 S RIVER RD STE 202
Practice Address - Street 2:
Practice Address - City:DES PLAINES
Practice Address - State:IL
Practice Address - Zip Code:60018-4111
Practice Address - Country:US
Practice Address - Phone:708-422-7340
Practice Address - Fax:708-422-7348
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-20
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1010740251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health