MEDICARE: OPTUM WOMEN'S AND CHILDREN'S HEALTH, 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
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1982875373
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OPTUM WOMEN'S AND CHILDREN'S HEALTH, LLC

Provider Business Mailing Address
First Line	:	2100 RIVEREDGE PKWY STE 400
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30328-4663
Country	:	US
Telephone Number	:	800-456-4070
Fax Number	:	844-897-4515

Provider Business Practice Location Address
First Line	:	5900 PARKWOOD PL
Second Line	:
City	:	DUBLIN
State	:	OH
Zip	:	43016-1216
Country	:	US
Telephone Number	:	800-456-4070
Fax Number	:

Authorized Official
Title or Position	:	BILLING MANAGER
Name	:	DARLENE RIGGINS-JONES
Credential	:
Telephone Number	:	763-797-2315

Provider Enumeration Date	:	03/13/2008
Last Update Date	:	05/22/2024

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