Provider Profile

OPTUM INFUSION SERVICES 204 INC

Home Health Agency

FACILITY PROFILE

Accredited by: Accreditation Commission for Health Care
Street Address
  • 9160 FORUM CORPORATE PARKWAY SUITE 315
    FORT MYERS, FL 33913
    County: Lee
  • Phone: (800) 670-6922
Mailing Address
AHCA Reports
Inspection Reports
Inspection Details
Consumer Guides
Home Health Care in Florida
Long-Term Care
Patient Safety
Health Care Advance Directives
Facility Information:
Facility/Provider Type:Home Health Agency
Administrator:ALEXANDRA ROSE TWELE
Chief Executive Officer:Not Available
Financial Officer:SATTERWHITE ANN ERIN
Owner/Licensee:OPTUM INFUSION SERVICES 204 INC
Owner/Licensee Since:9/1/2012

NamePositionOwnership
AMBIENT HEALTHCARE INC100%
HEATHER LANGBOARD MEMBER/OFFICER0%
KATHRYN EVE CAREYBOARD MEMBER/OFFICER0%
KEVIN BURRBOARD MEMBER/OFFICER0%
MARILYN HIRSCHBOARD MEMBER/OFFICER0%
SATTERWHITE ANN ERINBOARD MEMBER/OFFICER0%
Profit Status:For-Profit
Management Company:Not Available
Manager Since:Not Available
Licensed Beds:Not Available
AHCA Number (File Number):19966968
AHCA Field Office:08
License Number:299993997
Current License Effective:11/30/2024
Current License Expires:11/29/2026
License Status:LICENSED
Services/Characteristics
Service Area:CharlotteCollierDesotoGladesHendryLeeSarasota
Accredited By:Accreditation Commission for Health Care
Accredited Deemed Status:State Only
Certification Status:Not Certified
SERVICES PROVIDED:IV TherapyNursing Care
Special Designation:Skilled Services
Skilled Pediatric Services:Yes
Legal Actions
Please note the legal actions above may have been issued to a prior owner. The Final Order displays the name of the licensee responsible for the legal action that was taken.
Date Initiated Case # Case Type Violation Fine Amount Date Imposed
Change of ownership occurred 9/1/2012

Important information and facility/provider definitions can be found in the Glossary.

Attn Providers: Requests for changes in data must be sent in writing to the AHCA licensing office.