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General NPI Number Information
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NPI Number | 1881554301
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Entity Type | Organization
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Legal Business Name | OPTIMUM CARE LLC
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Dates
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Enumeration Date | 11/17/2025
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Last Update Date | 11/17/2025
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Provider Practice Location Address
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Address Line | 5586 WAITS PT
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City | STONECREST
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State | GA
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Zip | 30038-5502
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Country | US
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Telephone | 770-284-3934
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Fax |
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Provider Business Mailing Address
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Address Line | 3133 MAPLE DR NE STE 240 PMB2353
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City | ATLANTA
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State | GA
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Zip | 30305-2509
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Country | US
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Telephone | 770-284-3934
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Fax | 770-284-3934
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Authorized Official
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Title or Position | CO-OWNER
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Name | MS. MAUREEN DOUGLAS
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Credential | LPN
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Telephone | 770-284-3934
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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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