MEDICARE: OPTIMAL COMFORT 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
2	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1619739315
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OPTIMAL COMFORT INC.

Provider Business Mailing Address
First Line	:	4350 MADISON AVE APT 609
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46227-1578
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4350 MADISON AVE APT 609
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46227-1578
Country	:	US
Telephone Number	:	317-315-7703
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	SHARON HAMPTON
Credential	:
Telephone Number	:	317-315-7703

Provider Enumeration Date	:	01/29/2024
Last Update Date	:	01/31/2024

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