Healthcare Provider Details

I. General information

NPI: 1275145666
Provider Name (Legal Business Name): OPTIMIZED MANAGEMENT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2020
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1398 MINUET ST
HENDERSON NV
89052-6456
US

IV. Provider business mailing address

1398 MINUET ST
HENDERSON NV
89052-6456
US

V. Phone/Fax

Practice location:
  • Phone: 702-768-9996
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number StateNULL

VIII. Authorized Official

Name: MR. KRISTOPHER BOSCH
Title or Position: MANAGER
Credential:
Phone: 702-768-9996