MEDICARE: OPTUM HOME HEALTH 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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1952008575
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OPTUM HOME HEALTH CARE INC

Provider Business Mailing Address
First Line	:	116 E PITTSBURGH ST STE 112
Second Line	:
City	:	GREENSBURG
State	:	PA
Zip	:	15601-3312
Country	:	US
Telephone Number	:	412-399-8843
Fax Number	:

Provider Business Practice Location Address
First Line	:	116 E PITTSBURGH ST STE 112
Second Line	:
City	:	GREENSBURG
State	:	PA
Zip	:	15601-3312
Country	:	US
Telephone Number	:	412-399-8843
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	OMAR ABDI MOHAMED
Credential	:
Telephone Number	:	412-399-8843

Provider Enumeration Date	:	02/14/2023
Last Update Date	:	05/15/2023

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