# OPTIMUM IN-HOME AIDE AGENCY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Optimum Home Care of Florida
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396468831
- **Authorized official:** JOHNNA SCOTT (OWNER)
- **Authorized official phone:** (414) 704-9031

## Contact information

- **Practice address:** 3801 PARK ST N, ST PETERSBURG, FL 33709-4078
- **Practice address phone:** (414) 704-9031
- **Mailing address:** 420 79TH TER N APT 211, ST PETERSBURG, FL 33702-4371
- **Mailing address phone:** (414) 704-9031

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 385H00000X | Respite Care | — | NULL | — |
| 385HR2065X | Child Physical Disabilities Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 09/20/2022
- **Last updated:** 09/20/2022