OPTIMUS HEALTH CARE INC (NPI# 1174893648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174893648 |
| Entity Type | Organization |
| Organization Name | OPTIMUS HEALTH CARE INC |
| Other Organization Name | RALPHOLA TAYLOR COMMUNITY CENTER |
| Practice Address |
790 Central Ave Bridgeport CT 06607-1705 |
| Mailing Address |
982 E Main St Bridgeport CT 06608-1913 |
| Practice Telephone | 2033324567 |
| Practice Fax Number | 2033320376 |
| Mailing Telephone | 2036963260 |
| Mailing Fax Number | 2033320376 |
| Enumeration Date | 2011-12-30 |
| Last Update Date | 2011-12-30 |
| Authorized Official Name | LUDWIG SPINELLI (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 2036963260 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
0200 | CT | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | MEDICARE PART B | C00383 | 01 |
| CT | 004234788 | 05 |
| Other Name | Type Code |
|---|---|
| Ralphola Taylor Community Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235485236 | Optimus Health Care Inc | Clinic/Center | 3180 Main St Ste G1, Bridgeport, CT 06606-4237 | 2012-07-27 |
| 1780944736 | Optimus Health Care Inc | Clinic/Center | 597 Pacific St, Stamford, CT 06902-5814 | 2012-05-24 |
| 1164798138 | Optimus Health Care Inc | Clinic/Center | 8 Woodland Pl, Stamford, CT 06902-6939 | 2012-03-23 |
| 1346516317 | Optimus Health Care Inc | Clinic/Center | 1071 E Main St, Bridgeport, CT 06608-1618 | 2012-03-23 |
| 1609142678 | Optimus Health Care Inc | Clinic/Center | 138 Stillwater Ave, Stamford, CT 06902-4843 | 2012-03-23 |
| 1073992764 | Optimus Health Care Inc | Clinic/Center | 949 Bridgeport Ave, Milford, CT 06460-3142 | 2015-05-27 |
| 1659641363 | Optimus Health Care Inc | Clinic/Center | 982 E Main St, Bridgeport, CT 06608-1913 | 2012-01-11 |
| 1932479409 | Optimus Health Care Inc | Clinic/Center | 64 Black Rock Ave, Bridgeport, CT 06605-1200 | 2011-12-30 |
| 1215207782 | Optimus Health Care Inc | Clinic/Center | 82 George St, Bridgeport, CT 06604-3315 | 2011-12-30 |
| 1922378496 | Optimus Health Care Inc | Clinic/Center | 727 Honeyspot Rd, Stratford, CT 06615-7172 | 2011-12-30 |
| Street Address |
790 CENTRAL AVE |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06607-1705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730290743 | Audrie L Karraker | Social Worker | 790 Central Ave, Bridgeport, CT 06607-1705 | 2006-08-31 |
| 1407178882 | Iveliz Oramas | Nurse Practitioner | 790 Central Ave, Bridgeport, CT 06607-1705 | 2010-02-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164992723 | Connecticut Executive Caregivers LLC | Home Health | 800 Union Ave., Bridgeport, CT 06607 | 2018-11-27 |
| 1881839025 | Ark of Christ Ministries Inc | Social Worker | 510 Wilmot Ave, Bridgeport, CT 06607 | 2008-12-02 |
| 1841691540 | Heaven's Angels Agency | In Home Supportive Care | 130 Holly Street, Bridgeport, CT 06607-1035 | 2014-09-12 |
| 1508326323 | Tanya Maria Collazo | In Home Supportive Care | 32 3rd St, Bridgeport, CT 06607-1068 | 2019-03-20 |
| 1922580737 | Jacqueline Renee Scott | Counselor | 566 Wilmot Ave Unit 1, Bridgeport, CT 06607-1107 | 2018-08-29 |
| 1316479454 | Myron Dukes | Adult Companion | 955 Connecticut Ave, Ste 5305, Bridgeport, CT 06607-1224 | 2017-03-29 |
| 1346855954 | Hand To Hand LLC | Home Health | 955 Connecticut Ave, Bridgeport, CT 06607-1224 | 2020-09-10 |
| 1982120747 | Helen's Homecare | Adult Companion | 955 Connecticut Ave, #5305, Bridgeport, CT 06607-1297 | 2017-08-14 |
| 1225580087 | Lavant Garde Hair | Prosthetic/Orthotic Supplier | 580 Newfield Ave, Bridgeport, CT 06607-1718 | 2016-10-27 |
| 1548671969 | Jessica Mauro | Registered Nurse | 250 Hollister Ave, Bridgeport, CT 06607-1924 | 2014-05-20 |
| Find all providers in zip 06607 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1669868931 | Community Care of West Virginia, Inc. | Clinic/Center | 413 Johnson Ave, Bridgeport, WV 26330-1309 | 2015-04-13 |
| 1326434846 | Community Care of West Virginia, Inc. | Clinic/Center | 515 Johnston Avenue, Bridgeport, WV 26330-1311 | 2015-04-10 |
| 1912392358 | Community Care of West Virginia, Inc. | Clinic/Center | 531 Johnson Ave, Bridgeport, WV 26330-1311 | 2015-04-02 |
| 1497176390 | Family Health Centers | Clinic/Center | 1015 Columbia Ave, Bridgeport, WA 98813 | 2013-12-18 |
| 1235485236 | Optimus Health Care Inc | Clinic/Center | 3180 Main St Ste G1, Bridgeport, CT 06606-4237 | 2012-07-27 |
| 1346516317 | Optimus Health Care Inc | Clinic/Center | 1071 E Main St, Bridgeport, CT 06608-1618 | 2012-03-23 |
| 1619348844 | Community Care of West Virginia, Inc. | Clinic/Center | 65 Professional Pl Ste 102103, Bridgeport, WV 26330-0258 | 2015-10-14 |
| 1659641363 | Optimus Health Care Inc | Clinic/Center | 982 E Main St, Bridgeport, CT 06608-1913 | 2012-01-11 |
| Find all providers in BRIDGEPORT | ||||
| City | BRIDGEPORT |
| Zip Code | 06607 |
Please comment or provide details below to improve the information on OPTIMUS HEALTH CARE INC.
| 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.