Organization Active NPI

Ideal Home Care of Ga

  • Community Based Hospice Care Agency
  • Macon, GA
National Provider Identifier
1003934795
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
055R0004 Issued in GA
Legal business name
IDEAL HOME CARE OF GA
Practice address
182 Riley Ave Ste F2
Macon, GA 31204-0778
Phone
(478) 757-1002
NPI assigned
Mar 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
April Hoffman, RN
Title
Rnadminstrator
Phone
(228) 831-1510

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 055R0004 GA Primary

Addresses

Primary practice location

182 Riley Ave Ste F2
Macon, GA 31204-0778

Mailing address

182 Riley Ave Ste F2
Macon, GA 31204-0778
Phone (478) 757-1002

National Provider Directory

National Provider Directory

Locations

182 Riley Ave
Ste F2
Macon, GA 31204
Phone (478) 318-8799

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003934795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "182 RILEY AVE STE F2",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312040778",
            "telephone_number": "478-757-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182 RILEY AVE STE F2",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312040778",
            "telephone_number": "478-757-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL HOME CARE OF GA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOFFMAN",
        "authorized_official_first_name": "APRIL",
        "authorized_official_title_or_position": "RNADMINSTRATOR",
        "authorized_official_telephone_number": "228-831-1510",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "GA",
            "license": "055R0004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.