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NPI Code Detail

MEDICARE: OPTIMUM HOME CARE SERVICES LLC

MEDICARE: OPTIMUM HOME 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
1251E00000XHome Health AgencyHP0187800NJ

General Provider Information

NPI Number : 1942679295
Entity Type Code : Organization
Provider Name (Legal Business Name) : OPTIMUM HOME CARE SERVICES LLC
Provider Business Mailing Address
First Line : 50 PRINCETON HIGHTSTOWN RD STE 280
Second Line :
City : PRINCETON JUNCTION
State : NJ
Zip : 08550-1107
Country : US
Telephone Number : 609-910-1105
Fax Number : 609-910-1106
Provider Business Practice Location Address
First Line : 50 PRINCETON HIGHTSTOWN RD STE 280
Second Line :
City : PRINCETON JUNCTION
State : NJ
Zip : 08550-1107
Country : US
Telephone Number : 609-910-1105
Fax Number : 609-910-1106
Authorized Official
Title or Position : REGISTERED AGENT
Name : SHEILA BOAFOA MENSAH
Credential :
Telephone Number : 973-980-4754
Provider Enumeration Date : 09/16/2015
Last Update Date : 09/16/2015

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Directions to “OPTIMUM HOME CARE SERVICES LLC ” Practice Location

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