Provider Demographics
NPI:1881554301
Name:OPTIMUM CARE LLC
Entity type:Organization
Organization Name:OPTIMUM CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MAUREEN
Authorized Official - Middle Name:
Authorized Official - Last Name:DOUGLAS
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:770-284-3934
Mailing Address - Street 1:3133 MAPLE DR NE STE 240
Mailing Address - Street 2:PMB2353
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30305-2509
Mailing Address - Country:US
Mailing Address - Phone:770-284-3934
Mailing Address - Fax:770-284-3934
Practice Address - Street 1:5586 WAITS PT
Practice Address - Street 2:
Practice Address - City:STONECREST
Practice Address - State:GA
Practice Address - Zip Code:30038-5502
Practice Address - Country:US
Practice Address - Phone:770-284-3934
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-17
Last Update Date:2025-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health