Ida Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

IDA CARE LLC

Practice address

2908 58TH Ave
Gulfport, MS 39501-5620

Phone

(337) 274-3154

NPI assigned

Mar 22, 2021

Organization subpart

No

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

Authorized official

Name

Akeemia Davis

Title

Manager

Phone

(337) 274-3154

Specialties & licenses 1

Addresses

Other names 1

• Ida Care LLC Former legal business name

Electronic endpoints 1

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

{
    "created_epoch": "1616371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618185600000",
    "number": "1043896863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2908 58TH AVE",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395015620",
            "telephone_number": "337-274-3154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2908 58TH AVE",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395015620",
            "telephone_number": "337-274-3154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDA CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-22",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "AKEEMIA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "337-274-3154"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "http://ida-care.com/",
            "affiliation": "N",
            "address_1": "2908 58th Ave",
            "city": "Gulfport",
            "state": "MS",
            "country_code": "US",
            "postal_code": "395015620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Ida Care LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Home Health Agency in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Home Health Agency in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2021; 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.