OPTIMUM CARE (NPI# 1174753800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174753800 |
Entity Type | Organization |
Organization Name | OPTIMUM CARE |
Other Organization Name | PIERCE OPTIMUM CARE |
Practice Address |
15026 Joycedale St La Puente CA 91744-1052 |
Mailing Address |
51520 Avenida Villa La Quinta CA 92253-3187 |
Practice Telephone | 7607779721 |
Practice Fax Number | 6269182507 |
Mailing Telephone | 7607779721 |
Mailing Fax Number | 6269182507 |
Enumeration Date | 2009-07-15 |
Last Update Date | 2012-06-14 |
Authorized Official Name | MRS. LISA PIERCE (ADMINISTRATOR) |
Authorized Official Telephone | 7607779721 |
Authorized Official Credential | ADMINISTRATOR |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
Nursing & Custodial Care Facilities |
Other Name | Type Code |
---|---|
Pierce Optimum Care | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437658291 | Optimum Care | Skilled Nursing Facility | 17281 Meadowview Dr, Yorba Linda, CA 92886-3215 | 2018-02-07 |
1093012841 | Optimum Care | Pharmacist | 2367 State Route 93 N, Kuttawa, KY 42055-5880 | 2011-02-14 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | OPTIMUM CARE | 93 Barker Ave, Sharon Hill, PA 19079-1416 |
New York State Corporations | OPTIMUM CARE CONSULTING, LLC | 1775 Broadway, Suite 608, New York, Ny 10019 |
Massachusetts Corporations | OPTIMUM CARE INC. | 9 Fieldmont St., Hyde Park, MA 02136 |
Colorado Business Entities | Optimum Care LLC | 1225 S. Flatrock Circle, Aurora, CO 80018 |
Connecticut Business Registrations | OPTIMUM CARE SERVICES OF CONNECTICUT, INC. | One Boston Place, Boston, MA 02108 |
Colorado Business Entities | Optimum Cares | 420 South Mcculloch Blvd, Ste D, Pueblo West, CO 81007 |
Street Address |
15026 JOYCEDALE ST |
City | LA PUENTE |
State | CA |
Zip Code | 91744-1052 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073158051 | Juan Gomez Jr. | Case Manager/Care Coordinator | 106 S. Seventh Avenue, La Puente, CA 91744 | 2019-11-13 |
1821630898 | Richard B Vasquez Jr. | Technician | 14602 Hartsville St., La Puente, CA 91744 | 2019-10-11 |
1639720196 | Yolanda Salazar | Technician | 14744 Flanner Street, La Puente, CA 91744 | 2019-09-26 |
1154898245 | Karen Elvera Garza | Case Manager/Care Coordinator | 160 S.seventh Ave, La Puente, CA 91744 | 2018-10-27 |
1649709916 | Briana Michelle Ramos | Student in an Organized Health Care Education/Training Program | 1550 N Hacienda Blvd., La Puente, CA 91744 | 2017-06-08 |
1952857237 | Autumn Abadesco | Dentist | 525 N Azusa Ave #112, La Puente, CA 91744 | 2016-08-28 |
1649724790 | Michelle Han | Acupuncturist | 129 Homestead St, La Puente, CA 91744 | 2016-08-06 |
1750756375 | Vanessa Molina | Marriage & Family Therapist | 160 S. Seventh Ave., La Puente, CA 91744 | 2015-12-08 |
1649668294 | Jennifer Mendoza Leyran | Physical Therapist | 15959 Main Street, La Puente, CA 91744 | 2015-01-06 |
1073949863 | Brenda Ann Tabone | Nurse Practitioner | 160 S. Seventh Avenue, La Puente, CA 91744 | 2013-09-25 |
Find all providers in zip 91744 |
Taxonomy Code | 311ZA0620X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Custodial Care Facility |
Specialization | Adult Care Home |
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
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1407457450 | Dellbrook Guest Home | Custodial Care Facility | 13731 Dellbrook St, Eastvale, CA 92880-5521 | 2020-11-05 |
1891395547 | Accuro Homes II | Custodial Care Facility | 13172 Early Crimson St, Eastvale, CA 92880-4609 | 2020-10-30 |
1689274508 | Najeh Hamed | Custodial Care Facility | 5336 Bardwell Ave, Riverside, CA 92506-1517 | 2020-10-29 |
1912505868 | Majestic Senior Living Inc. | Custodial Care Facility | 25141 Highspring Ave, Newhall, CA 91321-3415 | 2020-10-13 |
1003413873 | Aury Mcdaniel | Custodial Care Facility | 1068 Camino Miel, Chula Vista, CA 91910-8712 | 2020-10-05 |
1407462104 | Good Samaritan Healing Center LLC | Custodial Care Facility | 229 S Chester Ave, Bakersfield, CA 93304-3648 | 2020-09-17 |
1245844174 | Robert Alexander Risinger | Custodial Care Facility | 3002 Freeborn St, Duarte, CA 91010-1507 | 2020-09-08 |
1720690217 | D&c Angels Home Care LLC | Custodial Care Facility | 1859 Shedden Dr, Loma Linda, CA 92354-1794 | 2020-08-18 |
1104464163 | Arveah's Care Homes, LLC | Custodial Care Facility | 45 E Ramsey Dr, Mountain House, CA 95391-8813 | 2019-12-20 |
1699310425 | Attentive Senior Care 11, LLC | Custodial Care Facility | 6149 E Lowe Ave, Fresno, CA 93727-5652 | 2019-11-15 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.