Ideal Hospice Services Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

IDEAL HOSPICE SERVICES INC

Practice address

6751 Dixie Hwy Ste 200
Clarkston, MI 48346-2080

Phone

(888) 761-1215

Fax

(866) 635-3078

NPI assigned

Apr 8, 2024

Organization subpart

No

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

Authorized official

Name

Dipa Shah, ADMINISTRATORNPI 1497085914

Title

President/Administrator

Phone

(810) 449-0916

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Hospice certification: CCN 231729

Legal name

IDEAL HOSPICE SERVICES, INC.

Certification status

Active

Provider type (POS)

Hospice

Participating since

Mar 11, 2025

Last certification

Feb 26, 2025

Organization structure

CorporationProprietary

Incorporated

in MI

Enrollment address

8313 Holly Rd
Ste C2
Grand Blanc, MI 48439-2484

Listed as

Ideal Hospice Services, IncCCN 231729

Certified

Mar 11, 2025

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Ideal Home Health Services LLC

  • Home Health Agency
  • Clarkston, MI
  • NPI 1760631329

  Member Of

  NPD member

Locations

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Ideal Home Health Services LLC

  • Home Health Agency
  • Clarkston, MI
  • NPI 1760631329

  5% Or Greater Direct Ownership Interest

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dipa D Shah, PT

  • Physical Therapist
  • Grand Blanc, MI
  • NPI 1497085914
  NPD Authorized official

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Alpesh K Korant, MD

  • Internal Medicine Physician
  • Flint, MI
  • NPI 1619281300

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1712534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728518400000",
    "number": "1043063357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6751 DIXIE HWY STE 200",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483462080",
            "telephone_number": "888-761-1215",
            "fax_number": "866-635-3078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6751 DIXIE HWY STE 200",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483462080",
            "telephone_number": "888-761-1215",
            "fax_number": "866-635-3078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL HOSPICE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-08",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "DIPA",
        "authorized_official_title_or_position": "PRESIDENT/ADMINISTRATOR",
        "authorized_official_telephone_number": "810-449-0916",
        "authorized_official_credential": "ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nonnie L. Humphreys, LMSW
• Sam Henry Hunt
• Ronei Rodolfo Iacobelli, DDS
• Amy Iannarone, PHARM D
• Ideal Home Health Services LLC
• Iha Olma Specialty Service LLC
• Iha Ooma Primary LLC
• IHS Acquisition No 111, Inc.
• IHS Acquisition No. 111, Inc.
• Ala Eddin Imam, MD

• Community Based Hospice Care Agency in Clarkston, MI
• Providers in Clarkston, MI by specialty
• Community Based Hospice Care Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.