OrganizationActive
Optima Change Management, LLC
NPI 1588490908 · Substance Use Disorder Rehabilitation Clinic/Center · Henderson, NV
Provider details
- NPI number
- 1588490908
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jason Smith, Manager(805) 550-3837
Specialties & taxonomies
Ambulatory Health Care Facilities
- Substance Abuse Rehabilitation Facility324500000X
Residential Treatment Facilities
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1389 Galleria Dr Ste 110
Henderson, NV 89014-6686
Phone: (805) 550-3837
Street-level locationGet directions
Mailing address
1389 Galleria Dr Ste 110
Henderson, NV 89014-6686
Other names (DBA / former)
- Doing business as
- Optima Healing and Recovery
Registry dates
- Enumerated
- 2024-09-11
- Last updated
- 2024-09-11
- Certified
- 2024-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.