Optimal Home Care, LLC
In Home Supportive Care in Surprise, AZ. Organization (NPI-2).
NPI number1144593229
StatusActive
Last updated in NPPESFeb 20, 2012
Details
- NPI
- 1144593229
- Entity type
- Organization (NPI-2)
- Legal business name
- Optimal Home Care, LLC
- Organization subpart
- Yes
- Enumeration date
- Feb 20, 2012
- Last updated
- Feb 20, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
Other names
- Optimal Health Care (Doing Business As)
Practice location
15282 W Brookside LnSuite 110
Surprise, AZ 85374-2447
Phone 602-466-7570 · Fax 602-466-7507
Mailing address
15282 W Brookside LnSuite 110
Surprise, AZ 85374-2447
Authorized official
Darrell Dierks
President
6024667570
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