Organization
OPTIMUM HEALTHCARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY JOSEPH (VICE PRESIDENT)
(480) 833-7514
Entity
Organization
Contact information
Practice address
1050 E. UNIVERSITY DR., # 9, MESA, AZ 85203
(480) 833-7514
(480) 733-2487
Mailing address
1050 E. UNIVERSITY DR., # 9, MESA, AZ 85203
(480) 833-7514
(480) 733-2487
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HHA4804
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03D1072913
CLIA
AZ
05
—
262687
—
AZ
05
—
654305
—
AZ
Enumeration date
04/16/2007
Last updated
01/04/2012
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