OPTASIA GRACE


Address: 1908 Transcendence Dr, Wylie, TX 75098-0900
Phone: 2142291962

OPTASIA GRACE (NPI# 1902420086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1902420086
Entity Type Organization
Organization Name OPTASIA GRACE
Practice Address 1908 Transcendence Dr
Wylie
TX 75098-0900
Practice Telephone 2142291962
Mailing Telephone 2142291962
Enumeration Date 2020-06-03
Last Update Date 2020-10-07
Authorized Official Name MR. CLEOPAS SIMBI (ADMINISTRATOR)
Authorized Official Telephone 2142291962
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 251E00000X Home Health Agencies
N 253Z00000X In Home Supportive Care Agencies
Y 251K00000X Public Health or Welfare Agencies

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities OPTASIA GRACE LLC 1908 Transcendence Dr, Wylie, TX 75098-0900

Office Location

Street Address 1908 TRANSCENDENCE DR
City WYLIE
State TX
Zip Code 75098-0900

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Taxonomy Information

Taxonomy Code 251K00000X
Grouping Agencies
Classification Public Health or Welfare

Taxonomy Definition

Definition to come...

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Competitor

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City WYLIE
Zip Code 75098

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Dataset Information

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.

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