Healthcare Provider Details

I. General information

NPI: 1063493161
Provider Name (Legal Business Name): OPTIMAL HOME HEALTH CARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/07/2005
Last Update Date: 01/06/2022
Certification Date: 01/06/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1227 CHESTER AVE
BAKERSFIELD CA
93301-5445
US

IV. Provider business mailing address

1227 CHESTER AVE
BAKERSFIELD CA
93301-5445
US

V. Phone/Fax

Practice location:
  • Phone: 614-410-4000
  • Fax: 559-542-8308
Mailing address:
  • Phone: 661-410-4000
  • Fax: 661-387-7147

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number120000345
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number120000345
License Number StateCA

VIII. Authorized Official

Name: AJOY KHANDHERIA
Title or Position: PRESIDENT
Credential:
Phone: 661-410-4000