Healthcare Provider Details

I. General information

NPI: 1003322934
Provider Name (Legal Business Name): OPTIMUM CARE SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/14/2017
Last Update Date: 02/24/2025
Certification Date: 02/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9118 MESA DR
HOUSTON TX
77028-1605
US

IV. Provider business mailing address

1206 YUCCA MOUNTAIN DR
HOUSTON TX
77090-6106
US

V. Phone/Fax

Practice location:
  • Phone: 832-731-2148
  • Fax:
Mailing address:
  • Phone: 832-731-2148
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: REGINALD LEE MAXWELL
Title or Position: CEO
Credential:
Phone: 832-731-2148