| Organization Name: | OPTIM HEALTH SERVICES, INC. |
| NPI Number: | 1033396957 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BRADLEY JONATHAN HARRIS (ADMINISTRATOR) |
| Mailing Address: | 12300 Ford Rd Suite B321 Dallas |
| State: | TX US |
| Postal Code: | 752347248 |
| Phone Number: | 4693423320 |
| Fax Number: | 4695211082 |
| NPI Enumeration Date: | 01/22/2008 |
| NPI Last Update Date: | 05/23/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |