Healthcare Provider Details

I. General information

NPI: 1891506473
Provider Name (Legal Business Name): OPTIMAL EMBRACE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/14/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6050 S FORT APACHE RD STE 120
LAS VEGAS NV
89148-5614
US

IV. Provider business mailing address

3840 W ANN RD # 101B
NORTH LAS VEGAS NV
89031-4404
US

V. Phone/Fax

Practice location:
  • Phone: 702-728-5735
  • Fax:
Mailing address:
  • Phone: 702-660-2694
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: CHELSEA JOLLEY
Title or Position: CEO
Credential:
Phone: 702-660-2694