Healthcare Provider Details

I. General information

NPI: 1548114002
Provider Name (Legal Business Name): OPTIMAL CARE COH100 LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2026
Last Update Date: 02/23/2026
Certification Date: 02/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3550 BRIARFIELD BLVD STE 300
MAUMEE OH
43537-8916
US

IV. Provider business mailing address

801 ROSEHILL RD
JACKSON MI
49202-1762
US

V. Phone/Fax

Practice location:
  • Phone: 419-452-2102
  • Fax: 419-452-2105
Mailing address:
  • Phone: 517-212-9000
  • Fax: 517-212-2007

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: MR. JOSEPH MEAD
Title or Position: CEO
Credential:
Phone: 517-212-9000