OHCINC - DME (OPTIMAL HEALTH CARE INC) NPI 1801371232

Durable Medical Equipment & Medical Supplies in Hagerstown, MD

NPI 1801371232 Organization Durable Medical Equipment & Medical Supp... CLIA Number 21D2029857 CLIA Certificate of Waiver

About OHCINC - DME (OPTIMAL HEALTH CARE INC)

Ohcinc - Dme (optimal Health Care Inc) is a provider established in Hagerstown, Maryland specializing in durable medical equipment & medical supplies. The NPI number of Ohcinc - Dme (optimal Health Care Inc) is 1801371232 and was assigned on October 2018. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Ohcinc - Dme. The authorized official of this NPI record is Dr. Jacob Minang Ph.d (Executive Director)

The CLIA number of Ohcinc - Dme is 21D2029857 registered as a "other" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to Ohcinc - Dme to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

NPI

1801371232

Provider NameOHCINC - DME (OPTIMAL HEALTH CARE INC)
Provider Location Address11377 ROBINWOOD DR STE 101 HAGERSTOWN, MD 21742
Provider Mailing Address11377 ROBINWOOD DR STE 101 HAGERSTOWN, MD 21742
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?Yes
Other Organization NameOHCINC - DME
Other Name TypeDoing Business As (3)
Enumeration Date10-02-2018
Last Update Date05-06-2020


Primary Taxonomy

Taxonomy Code332B00000X
ClassificationDurable Medical Equipment & Medical Supplies
TypeSuppliers
Taxonomy DescriptionA supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Business Address

OHCINC - DME
11377 ROBINWOOD DR STE 101
HAGERSTOWN, MD
ZIP 21742
Phone: (301) 790-4962
Fax: (301) 790-4951

Get Directions


Mailing Address

OHCINC - DME
11377 ROBINWOOD DR STE 101
HAGERSTOWN, MD
ZIP 21742
Phone: (301) 790-4962
Fax: (301) 790-4951



Authorized Official

Authorized Official NameDR. JACOB MINANG PH.D
Authorized Official TitleEXECUTIVE DIRECTOR
Authorized Official Phone(301) 790-4962

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1801371232 is:

CLIA Number21D2029857
Facility TypeOTHER
Certificate TypeCertificate of Waiver

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
782606101MEDICAID (05)MD

Other Providers at the same location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1942529664OPTIMAL HEALTH CARE INC
Organization
Home Health11377 ROBINWOOD DR STE 101
HAGERSTOWN, MD 21742
(301) 790-4962
1063098036OPTIMAL CASE MANAGEMENT
Organization
Case Management11377 ROBINWOOD DR STE 101
HAGERSTOWN, MD 21742
(301) 790-4962

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.