Healthcare Provider Details

I. General information

NPI: 1598592941
Provider Name (Legal Business Name): OPTIMITY GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2024
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3174 MACK RD STE 7
FAIRFIELD OH
45014-5369
US

IV. Provider business mailing address

3174 MACK RD STE 7
FAIRFIELD OH
45014-5369
US

V. Phone/Fax

Practice location:
  • Phone: 283-212-1423
  • Fax:
Mailing address:
  • Phone: 283-212-1423
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: GOPAL SAMAL
Title or Position: CEO
Credential:
Phone: 283-212-1423