=====================================================
General NPI Number Information
=====================================================
NPI Number | 1851628846
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | OPTIMA CARE HOME HEALTH SERVICES, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/11/2009
-----------------------------------------------------
Last Update Date | 08/25/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3633 INLAND EMPIRE BLVD STE 550
-----------------------------------------------------
City | ONTARIO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91764-4971
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 866-626-8020
-----------------------------------------------------
Fax | 909-980-0004
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3633 INLAND EMPIRE BLVD STE 550
-----------------------------------------------------
City | ONTARIO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91764-4971
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 866-626-8020
-----------------------------------------------------
Fax | 909-980-0004
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT - CEO / OWNER
-----------------------------------------------------
Name | MR. RAMON ALAN T DE LEON
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 866-626-8020
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number | 550000785
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------