# OPTIMUM CARE SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720520802
- **Authorized official:** LASHERRIE JOHNSON (ADMINISTRATION)
- **Authorized official phone:** (864) 634-8555

## Contact information

- **Practice address:** 802 N MAIN ST, ANDERSON, SC 29621-5525
- **Practice address phone:** (864) 634-8555
- **Mailing address:** 802 N MAIN ST, ANDERSON, SC 29621-5525
- **Mailing address phone:** (864) 634-8555

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |
| 251E00000X | Home Health Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |
| 347C00000X | Private Vehicle | — | NULL | — |

## Other

- **Enumeration date:** 11/07/2016
- **Last updated:** 11/07/2016