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General NPI Number Information
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NPI Number | 1588697841
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Entity Type | Organization
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Legal Business Name | OPTIMAL CARE, LLC
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Dates
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Enumeration Date | 07/09/2006
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Last Update Date | 03/25/2025
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Provider Practice Location Address
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Address Line | 24255 W 13 MILE RD STE 250
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City | BINGHAM FARMS
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State | MI
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Zip | 48025-4322
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Country | US
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Telephone | 248-723-9613
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Fax | 248-723-9615
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Provider Business Mailing Address
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Address Line | 801 ROSEHILL RD
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City | JACKSON
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State | MI
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Zip | 49202-1762
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Country | US
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Telephone | 248-723-9613
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Fax | 248-723-9615
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Authorized Official
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Title or Position | CEO
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Name | JOSEPH MEAD
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Credential |
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Telephone | 517-212-9000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 154620111
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License Number State | MI
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