Active NPI
Ideal Home Care of Ga
- Community Based Hospice Care Agency
- Macon, GA
National Provider Identifier
1003934795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- 055R0004
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.