MEDICARE: OPTIONAL CARE 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	163WH0200X	Home Health Registered Nurse	007240	TX
2	235Z00000X	Speech-Language Pathologist	007240	TX
3	251E00000X	Home Health Agency	007240	TX

General Provider Information

NPI Number	:	1538164652
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OPTIONAL CARE INC

Provider Business Mailing Address
First Line	:	1231 GREENWAY DR
Second Line	:	SUITE 380
City	:	IRVING
State	:	TX
Zip	:	75038-2527
Country	:	US
Telephone Number	:	975-756-0500
Fax Number	:	972-756-0448

Provider Business Practice Location Address
First Line	:	1231 GREENWAY DR
Second Line	:	SUITE 380
City	:	IRVING
State	:	TX
Zip	:	75038-2527
Country	:	US
Telephone Number	:	975-756-0500
Fax Number	:	972-756-0448

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	MR. JOHN JACOB LAVERTY
Credential	:	BA AND MHA
Telephone Number	:	972-756-0500

Provider Enumeration Date	:	06/15/2005
Last Update Date	:	09/11/2025

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Directions to “OPTIONAL CARE INC ” Practice Location

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