Provider Demographics
NPI:1942010657
Name:OLYMPUS HOME CARE INC.
Entity type:Organization
Organization Name:OLYMPUS HOME CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO-PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MORAIMA
Authorized Official - Middle Name:
Authorized Official - Last Name:MORA -OTERO
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:321-429-4567
Mailing Address - Street 1:403 W VINE ST
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34741-4154
Mailing Address - Country:US
Mailing Address - Phone:321-429-4567
Mailing Address - Fax:321-988-0301
Practice Address - Street 1:403 W VINE ST
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34741-4154
Practice Address - Country:US
Practice Address - Phone:321-429-4567
Practice Address - Fax:321-988-0301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-14
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health