MEDICARE: OPTIMIZED SOLUTIONS, 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	:	1215567037
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OPTIMIZED SOLUTIONS, INC.

Provider Business Mailing Address
First Line	:	2110 POWERS FERRY RD SE STE 306
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30339-5015
Country	:	US
Telephone Number	:	404-634-1111
Fax Number	:	404-634-1199

Provider Business Practice Location Address
First Line	:	2110 POWERS FERRY RD SE STE 306
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30339-5015
Country	:	US
Telephone Number	:	404-634-1111
Fax Number	:	404-634-1199

Authorized Official
Title or Position	:	OWNER
Name	:	PHILLIP MICHAEL EVANS
Credential	:
Telephone Number	:	404-634-1111

Provider Enumeration Date	:	01/21/2020
Last Update Date	:	09/17/2021

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