Healthcare Provider Details

I. General information

NPI: 1538881297
Provider Name (Legal Business Name): OPTIMUM HEALTHCARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/19/2022
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

FRANKLIN TIKU 152 SE SOAN DR
WAUKEE IA
50263
US

IV. Provider business mailing address

152 SE SLOAN DR
WAUKEE IA
50263-1268
US

V. Phone/Fax

Practice location:
  • Phone: 405-968-5237
  • Fax: 515-984-8143
Mailing address:
  • Phone: 405-968-5237
  • Fax: 515-984-8143

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: FRANKLIN TIKU
Title or Position: CEO
Credential: FRANKLIN TIKU
Phone: 405-968-5237