# OPTIMOM HEALTHCARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Optimom HealthCare LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730654021
- **Authorized official:** SAMUEL L BANGURA OWNER (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (281) 905-8277

## Contact information

- **Practice address:** 10101 HARWIN DR STE 322, HOUSTON, TX 77036-1686
- **Practice address phone:** (281) 513-0068
- **Practice address fax:** (281) 416-4735
- **Mailing address:** 6119 KNOLLWEST DR, HOUSTON, TX 77072-1021
- **Mailing address phone:** (832) 672-4903

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 311ZA0620X | Adult Care Home Facility | — | NULL | — |
| 3747P1801X | Personal Care Attendant | — | NULL | — |
| 3747P1801X | Personal Care Attendant | — | — | — |

## Other

- **Enumeration date:** 10/12/2018
- **Last updated:** 12/30/2025