OPTIMUM HOME HEALTH AGENCY
NPI 1164296570
Home Health in Clearwater, FL

Active since November 07, 2023CLIA 10D2267638 · Waiver
2451 N MCMULLEN BOOTH RD FL 2, CLEARWATER, FL 33759(813) 330-8424(813) 359-9270 Get Directions Write a Review

NPPES record last updated: November 7, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Optimum Home Health Agency NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OPTIMUM HOME HEALTH AGENCY (NPI 1164296570) is a healthcare organization registered as a home health in Clearwater, Florida and active in the NPI registry since November 2023. The organization holds a CLIA Waiver certificate valid through August 28, 2026 and lists Gladys Kanodereka, Manager, as its authorized official.

NPPES Registry Identity

NPI1164296570
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameOPTIMUM STAFFING SERVICES LLC
Location Address2451 N MCMULLEN BOOTH RD FL 2Clearwater, FL 33759-1356
Mailing Address2451 N Mcmullen Booth Rd Fl 2Clearwater, FL 33759-1356 · (813) 330-8424 · Fax (813) 359-9270
Fax(813) 359-9270
Organization SubpartNo
Authorized OfficialGladys KanoderekaManager · (813) 655-4949
Enumeration DateNovember 7, 2023
NPPES CertifiedNovember 7, 2023
NPI 1164296570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition

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.

2451 N MCMULLEN BOOTH RD FL 2, Clearwater, FL 33759

Other Names 1

Doing Business AsOptimum Home Health Agency

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2267638

Optimum Home Health Agency · Brandon, FL
Active · expires Aug 28, 2026
CLIA Number10D2267638
Laboratory TypeHome Health Agency
Certificate Effective DateAugust 29, 2024
Certificate Expiration DateAugust 28, 2026
Laboratory DirectorGladys Kanodereka
Laboratory Phone(813) 655-4949
Laboratory LocationOptimum Home Health Agency500 Vonderburg Drive Suite 205, Brandon, FL 33511
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164296570, enumerated as an "organization" on November 07, 2023.

The provider is located at 2451 N MCMULLEN BOOTH RD FL 2 CLEARWATER, FL 33759 and the phone number is (813) 330-8424.

Home Health with taxonomy code 251E00000X.