- Enrollment id
- O20250226000838
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1952045346
- Multiple npi flag
- N
- Ccn
- 758051
- Associate id
- 8921528589
- Organization name
- OPTIMAL CARE HOME HEALTH, INC.
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 18340 VENTURA BLVD
- Address line 2
- STE 203
- City
- TARZANA
- State
- CA
- Zip code
- 913564290