OPTUM INFUSION SERVICES 205, INC (NPI# 1790009256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790009256 |
| Entity Type | Organization |
| Organization Name | OPTUM INFUSION SERVICES 205, INC |
| Practice Address |
1812 Riggins Rd Suite 2 Tallahassee FL 32308-7833 |
| Mailing Address |
15529 College Blvd Lenexa KS 66219-1351 |
| Practice Telephone | 9547963338 |
| Practice Fax Number | 9547963402 |
| Mailing Telephone | 8773429352 |
| Mailing Fax Number | 8775429352 |
| Enumeration Date | 2010-03-26 |
| Last Update Date | 2020-01-06 |
| Authorized Official Name | KIMBERLEY WILLIAMS (COMPLIANCE ANALYST) |
| Authorized Official Telephone | 9133356786 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | HOME HEALTH AGENCY LICENSE | 299993694 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396078036 | Optum Infusion Services 205, Inc | Home Health | 21301 Powerline Rd Ste 206, Boca Raton, FL 33433-2390 | 2009-09-14 |
| Street Address |
1812 RIGGINS RD SUITE 2 |
| City | TALLAHASSEE |
| State | FL |
| Zip Code | 32308-7833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215588306 | Jmc Tallahassee, LLC | Preventive Medicine | 1838 Jacliff Court, Tallahassee, FL 32308 | 2019-09-20 |
| 1972165108 | Covenant Home Health Care, LLC | Home Health | 1921 Capital Circle Ne, Tallahassee, FL 32308 | 2019-07-09 |
| 1548735798 | North Florida Rehab Solutions | Hospitalist | 1675 Riggins Road, Dr Steele Lancaster, Tallahassee, FL 32308 | 2018-10-03 |
| 1013491596 | Injury and Rehab Centers of North Florida, LLC | Neuromusculoskeletal Medicine & OMM | 2268 Wednesday Street, Tallahassee, Florida, FL 32308 | 2018-09-20 |
| 1487133625 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2634 Capital Circle Ne, Building C, Suite 156, Tallahassee, FL 32308 | 2018-08-08 |
| 1629566724 | Total Health & Wellness Home Care, LLC | Home Health | 1325 Mahan Dr., Tallahassee, FL 32308 | 2018-04-25 |
| 1669979480 | Beth North, Lcsw, LLC | Social Worker | 1325 Mahan Drive, Tallahassee, FL 32308 | 2018-04-09 |
| 1750885919 | Robert E Ashmore Jr Md | Obstetrics & Gynecology | 2770 Capitol Medical Blvd, Suite 100, Tallahassee, FL 32308 | 2018-03-22 |
| 1225547243 | William Michael Kunkle | Physician Assistant | 4004 Norton Ln, Suite 101, Tallahassee, FL 32308 | 2017-09-21 |
| 1235657834 | Traci R Raybon | Occupational Therapist | 1924 Hidden Valley, Tallahassee, FL 32308 | 2017-09-03 |
| Find all providers in zip 32308 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457965063 | First Choice Holistic & Wellness Care LLC | Home Health | 901 Riggins Rd, Tallahassee, FL 32308-6200 | 2020-09-01 |
| 1558973651 | Divine & Care Homeservices LLC | Home Health | 1980 Rain Valley Ct, Tallahassee, FL 32308-4567 | 2020-08-19 |
| 1821614074 | Circle of Love Home Care Agency LLC | Home Health | 2202 Trimble Rd, Tallahassee, FL 32303-3326 | 2020-06-23 |
| 1447893243 | The Good News Home Health Services | Home Health | 954 W Brevard St, Tallahassee, FL 32304-7709 | 2019-10-24 |
| 1972165108 | Covenant Home Health Care, LLC | Home Health | 1921 Capital Circle Ne, Tallahassee, FL 32308 | 2019-07-09 |
| 1467936542 | Jasmine J Gadsen | Home Health | 1547 Tangelo Dr, Tallahassee, FL 32305-6960 | 2018-09-24 |
| 1407341993 | Harper's Heavenly Hands, LLC | Home Health | 2117 Little River Ln, Tallahassee, FL 32311-9440 | 2018-06-27 |
| 1629566724 | Total Health & Wellness Home Care, LLC | Home Health | 1325 Mahan Dr., Tallahassee, FL 32308 | 2018-04-25 |
| 1629571013 | Tionna M Hills | Home Health | 1449 Crescent Hill Dr, Tallahassee, FL 32303-1190 | 2018-03-13 |
| 1467951251 | Saniecia Davis | Home Health | 4795 Leah Court, Tallahassee, FL 32303-3230 | 2018-02-07 |
| Find all providers in TALLAHASSEE | ||||
| City | TALLAHASSEE |
| Zip Code | 32308 |
Please comment or provide details below to improve the information on OPTUM INFUSION SERVICES 205, 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.