| Organization Name: | OPTIMAL CARE RESIDENTIAL SERVICE AGENCY,LLC |
| NPI Number: | 1326281916 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RENEE Y GREENE (CO-DIRECTOR) |
| Mailing Address: | 4604 Steeton Ct Chesapeake |
| State: | VA US |
| Postal Code: | 233216207 |
| Phone Number: | 7574832075 |
| Fax Number: | 7573697004 |
| NPI Enumeration Date: | 04/12/2009 |
| NPI Last Update Date: | 04/12/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 253Z00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | In Home Supportive Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |