Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
OPTIVIDA CARE SERVICES
Active
Organization
OPTIVIDA CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON M WHAVERS (VP)
(800) 574-6030
Entity
Organization
Contact information
Practice address
226 POMPANO ST, WAVELAND, MS 39576-3136
(800) 574-6030
Mailing address
4780 I 55 N STE 100, JACKSON, MS 39211-5583
(800) 574-6030
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/02/2026
Last updated
07/02/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up