OPTIMAL HOME CARE & STAFFING (KELLY SMITH) NPI 1003005513

Licensed Vocational Nurse in Winchester, CA

NPI 1003005513 Organization Licensed Vocational Nurse

About OPTIMAL HOME CARE & STAFFING (KELLY SMITH)

Optimal Home Care & Staffing (kelly Smith) is a provider established in Winchester, California specializing in licensed vocational nurse. The NPI number of Optimal Home Care & Staffing (kelly Smith) is 1003005513 and was assigned on October 2007. The practitioner's primary taxonomy code is 164X00000X with license number 187389 (CA). The provider is registered as an organization and their NPI record was last updated 9 years ago. Optimal Home Care & Staffing (kelly Smith) operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Optimal Home Care & Staffing. The authorized official of this NPI record is Kelly Smith L.v.n. (Nurse)

NPI

1003005513

Provider NameOPTIMAL HOME CARE & STAFFING (KELLY SMITH)
Provider Location Address30724 BENTON RD C-302 #551 WINCHESTER, CA 92596
Provider Mailing Address29970 TECHNOLOGY DR #208 MURRIETA, CA 92563
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameOPTIMAL HOME CARE & STAFFING
Other Name TypeDoing Business As (3)
Enumeration Date10-20-2007
Last Update Date04-04-2012


Primary Taxonomy

Taxonomy Code164X00000X
ClassificationLicensed Vocational Nurse
TypeNursing Service Providers
License No.187389
License StateCA
Taxonomy DescriptionAn individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.

Business Address

OPTIMAL HOME CARE & STAFFING
30724 BENTON RD
C-302 #551
WINCHESTER, CA
ZIP 92596
Phone: (951) 837-4703
Fax: (951) 837-4702

Get Directions


Mailing Address

OPTIMAL HOME CARE & STAFFING
29970 TECHNOLOGY DR
#208
MURRIETA, CA
ZIP 92563
Phone: (951) 837-4703
Fax: (951) 837-4702



Authorized Official

Authorized Official Name KELLY SMITH L.V.N.
Authorized Official TitleNURSE
Authorized Official Phone(951) 837-4703

Group Taxonomy


193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.