MEDICARE: OPTIMA CARE SERVICES LLC

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	:	1073443412
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OPTIMA CARE SERVICES LLC

Provider Business Mailing Address
First Line	:	310 E 38TH ST STE 303
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55409-1371
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	310 E 38TH ST STE 303
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55409-1371
Country	:	US
Telephone Number	:	612-351-2333
Fax Number	:

Authorized Official
Title or Position	:	AUTHORIZED AGENT
Name	:	ZEDE HARUT
Credential	:
Telephone Number	:	612-351-2333

Provider Enumeration Date	:	05/19/2026
Last Update Date	:	05/19/2026

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Directions to “OPTIMA CARE SERVICES LLC ” Practice Location

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