Healthcare Provider Details

I. General information

NPI: 1851236616
Provider Name (Legal Business Name): OPTIMUM PLUS HOMECARE LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2026
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

926 WILLARD DR STE 116
GREEN BAY WI
54304-5071
US

IV. Provider business mailing address

926 WILLARD DR STE 116
GREEN BAY WI
54304-5071
US

V. Phone/Fax

Practice location:
  • Phone: 920-441-8459
  • Fax: 920-903-1033
Mailing address:
  • Phone: 920-441-8459
  • Fax: 920-903-1033

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: JOYCE ADDO
Title or Position: ADMINISTRATOR
Credential: RNBSN
Phone: 920-441-8459