Optivida Care Services
In Home Supportive Care in Waveland, MS. Organization (NPI-2).
NPI number1033036637
StatusActive
Last updated in NPPESJul 2, 2026
Details
- NPI
- 1033036637
- Entity type
- Organization (NPI-2)
- Legal business name
- Optivida Care Services
- Organization subpart
- No
- Enumeration date
- Jul 2, 2026
- Certification date
- Jul 3, 2026
- Last updated
- Jul 2, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
Practice location
226 Pompano StWaveland, MS 39576-3136
Phone 800-574-6030
Mailing address
4780 I 55 N Ste 100Jackson, MS 39211-5583
Phone 800-574-6030
Authorized official
Shannon M Whavers
Vp
8005746030
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