Ideal Nursing Services Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

097036 Issued in DC

Legal business name

IDEAL NURSING SERVICES INC

Practice address

820 Upshur Street NW
Washington, DC 20011

Phone

(202) 723-0304

Fax

(202) 723-0367

NPI assigned

Dec 19, 2006

Last updated

Sep 18, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Carol Jean Grant Gordon

Title

President Administrator

Phone

(202) 723-0304

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1154484251. Details of each certification follow.

• CCN 097036 Home health agency · Active · Details

Home health agency certification: CCN 097036

Legal name

IDEAL NURSING SERVICES INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jun 27, 1994

Last certification

Mar 22, 2019

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Jun 5, 1993 in DC

Enrollment address

820 Upshur St NW
Washington, DC 20011-5837

Listed as

Ideal Nursing Services, Inc.CCN 097036 · All quality measures

Ownership

Proprietary

Certified

Jun 27, 1994

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Home health aide, Physical therapy, Occupational therapy

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

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 8

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.

• Norman W Allen, MD

  • Cardiovascular Disease Physician
  • Washington, DC
  • NPI 1033100581

  Corporate Director

  CMS ownership

Practitioners 488

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Yewubnesh Abate

  • Home Health Aide
  • Washington, DC
  • NPI 1194074138
  NPD (past)
• Askal Abay

  • Home Health Aide
  • Washington, DC
  • NPI 1578918447
  NPD (past)
• Kedija Abdella

  • Home Health Aide
  • Washington, DC
  • NPI 1487919189
  NPD (past)
• Samiya Abdella

  • Home Health Aide
  • Washington, DC
  • NPI 1417300542
  NPD (past)
• Mame Muluye Abit

  • Home Health Aide
  • Washington, DC
  • NPI 1518212034
  NPD (past)
• Awtash Tareke Abiye

  • Home Health Aide
  • Washington, DC
  • NPI 1891050910
  NPD (past)
• Azeb Abreha

  • Home Health Aide
  • Washington, DC
  • NPI 1861757569
  NPD (past)
• Dorothy Adekomaiya

  • Home Health Aide
  • Washington, DC
  • NPI 1982016457
  NPD (past)
• Sukurat Agbebi

  • Home Health Aide
  • Washington, DC
  • NPI 1497010821
  NPD (past)
• Elizabeth Kibebe Agonafer

  • Home Health Aide
  • Washington, DC
  • NPI 1003167560
  NPD (past)
• Zuliha J Ahemed

  • Home Health Aide
  • Washington, DC
  • NPI 1780922609
  NPD (past)
• Zeynab Ahmed

  • Home Health Aide
  • Washington, DC
  • NPI 1124383849
  NPD (past)

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442534400000",
    "number": "1154484251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 UPSHUR STREET NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20011",
            "telephone_number": "202-723-0304",
            "fax_number": "202-723-0367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 UPSHUR STREET NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20011",
            "telephone_number": "202-723-0304",
            "fax_number": "202-723-0367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL NURSING SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2015-09-18",
        "status": "A",
        "authorized_official_last_name": "GRANT GORDON",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "PRESIDENT ADMINISTRATOR",
        "authorized_official_telephone_number": "202-723-0304",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "DC",
            "license": "097036",
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "DC",
            "license": "HCA-0014",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "025398700",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "025400100",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Idea Public Charter School
• Ideal Academy Public Charter School
• Ideal Endodontics PLLC
• Ideal Home Care, LLC
• Ideal Initiative, Inc
• Ideal Support Services
• Joy Idika
• Idoc Optical P C
• Mercy Idoko
• Abimbola Idowu

• Home Health Agency in Washington, DC
• Providers in Washington, DC by specialty
• Home Health Agency in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2015; 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.