Provider Demographics
NPI:1871628883
Name:OPTIMUM HOME HEALTH CARE, INC.
Entity type:Organization
Organization Name:OPTIMUM HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PINKY
Authorized Official - Middle Name:
Authorized Official - Last Name:SHARMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-266-5080
Mailing Address - Street 1:17940 FARMINGTON RD
Mailing Address - Street 2:SUITE 222
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48152-3185
Mailing Address - Country:US
Mailing Address - Phone:734-266-5080
Mailing Address - Fax:734-266-5081
Practice Address - Street 1:17940 FARMINGTON RD
Practice Address - Street 2:SUITE 222
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48152-3185
Practice Address - Country:US
Practice Address - Phone:734-266-5080
Practice Address - Fax:734-266-5081
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-22
Last Update Date:2012-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
23-7620Medicare ID - Type Unspecified