# OPTIMUM HEALTHCARE SERVICES LLC

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

## Provider details

- **NPI number:** 1770905002
- **Authorized official:** KENNEDY LEE (ADMINISTRATOR)
- **Authorized official phone:** (781) 961-3320

## Contact information

- **Practice address:** 6 CABOT PL STE 8, STOUGHTON, MA 02072-4625
- **Practice address phone:** (781) 961-3320
- **Practice address fax:** (781) 961-3340
- **Mailing address:** 6 CABOT PL STE 8, STOUGHTON, MA 02072-4625
- **Mailing address phone:** (781) 961-3320
- **Mailing address fax:** (781) 961-3340

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 311Z00000X | Custodial Care Facility | — | NULL | — |
| 311ZA0620X | Adult Care Home Facility | — | NULL | — |

## Other

- **Enumeration date:** 01/06/2014
- **Last updated:** 05/15/2024