Healthcare Provider Details

I. General information

NPI: 1790627339
Provider Name (Legal Business Name): OPTIMAL HOMECARE SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2026
Last Update Date: 04/06/2026
Certification Date: 04/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3316 E 22ND ST
KANSAS CITY MO
64127-3231
US

IV. Provider business mailing address

3316 E 22ND ST
KANSAS CITY MO
64127-3231
US

V. Phone/Fax

Practice location:
  • Phone: 816-291-0461
  • Fax: 816-291-0461
Mailing address:
  • Phone: 816-291-0461
  • Fax: 816-291-0461

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: ANGELA CHEREE DAILEY-WATTS
Title or Position: OWNER
Credential: LPN
Phone: 816-291-0461