OPTIMAL HOME CARE & STAFFING (KELLY SMITH) NPI 1003005513
Licensed Vocational Nurse in Winchester, CA
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 Name | OPTIMAL HOME CARE & STAFFING (KELLY SMITH) |
| Provider Location Address | 30724 BENTON RD C-302 #551 WINCHESTER, CA 92596 |
| Provider Mailing Address | 29970 TECHNOLOGY DR #208 MURRIETA, CA 92563 |
| NPI Entity Type | Organization |
| Is Sole Proprietor? | N/A |
| Is Organization Subpart? | No |
| Other Organization Name | OPTIMAL HOME CARE & STAFFING |
| Other Name Type | Doing Business As (3) |
| Enumeration Date | 10-20-2007 |
| Last Update Date | 04-04-2012 |
Primary Taxonomy
| Taxonomy Code | 164X00000X |
| Classification | Licensed Vocational Nurse |
| Type | Nursing Service Providers |
| License No. | 187389 |
| License State | CA |
| Taxonomy Description | An 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
Mailing Address
OPTIMAL HOME CARE & STAFFING
29970 TECHNOLOGY DR
#208
MURRIETA, CA
ZIP 92563
Phone: (951) 837-4703
Fax: (951) 837-4702
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.