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General NPI Number Information
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NPI Number | 1851236616
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Entity Type | Organization
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Legal Business Name | OPTIMUM PLUS HOMECARE LLC.
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Dates
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Enumeration Date | 04/20/2026
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Last Update Date | 04/20/2026
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Provider Practice Location Address
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Address Line | 926 WILLARD DR STE 116
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City | GREEN BAY
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State | WI
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Zip | 54304-5071
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Country | US
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Telephone | 920-441-8459
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Fax | 920-903-1033
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Provider Business Mailing Address
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Address Line | 926 WILLARD DR STE 116
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City | GREEN BAY
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State | WI
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Zip | 54304-5071
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Country | US
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Telephone | 920-441-8459
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Fax | 920-903-1033
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | JOYCE ADDO
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Credential | RNBSN
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Telephone | 920-441-8459
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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 |
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License Number State |
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