MEDICARE: OPTIMAL HOME HEALTH CARE SERVICES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1043444326
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OPTIMAL HOME HEALTH CARE SERVICES INC

Provider Business Mailing Address
First Line	:	15291 NW 60TH AVE
Second Line	:	SUITE 105
City	:	MIAMI LAKES
State	:	FL
Zip	:	33014-2458
Country	:	US
Telephone Number	:	786-278-1574
Fax Number	:

Provider Business Practice Location Address
First Line	:	15291 NW 60TH AVE
Second Line	:	SUITE 105
City	:	MIAMI LAKES
State	:	FL
Zip	:	33014-2458
Country	:	US
Telephone Number	:	786-278-1574
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MISS ALCIRA UBEDA
Credential	:
Telephone Number	:	30582226615

Provider Enumeration Date	:	05/14/2009
Last Update Date	:	02/04/2010

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