Organization
OPTIMAL HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAHESIA MCKNIGHT (DIRECTOR)
(336) 727-3345
Entity
Organization
Contact information
Practice address
105 FAIR OAKS LN, WINSTON SALEM, NC 27127-3173
(336) 727-3345
(336) 727-3345
Mailing address
105 FAIR OAKS LN, WINSTON SALEM, NC 27127-3173
(336) 727-3345
(336) 652-3155
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063019180
—
NC
Enumeration date
10/01/2020
Last updated
03/26/2021
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