Ideeal Home Healthcare Services LC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

IDEEAL HOME HEALTHCARE SERVICES LC

Practice address

4920 Niagara Rd Ste 216
College Park, MD 20740-1165

Phone

(240) 676-5092

NPI assigned

Sep 26, 2023

Organization subpart

No

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

Authorized official

Name

Dorishatu Makai Kargbo

Title

Owner

Phone

(667) 209-4428

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1695686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754265600000",
    "number": "1194504571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 GATEWAY PARK CT",
            "city": "DISTRICT HEIGHTS",
            "state": "MD",
            "postal_code": "207471788",
            "telephone_number": "667-209-4428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4920 NIAGARA RD STE 216",
            "city": "COLLEGE PARK",
            "state": "MD",
            "postal_code": "207401165",
            "telephone_number": "240-676-5092"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1104 Gateway Park Ct",
            "address_purpose": "LOCATION",
            "city": "District Heights",
            "state": "MD",
            "postal_code": "207471788",
            "country_code": "US",
            "telephone_number": "240-676-5092",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "IDEEAL HOME HEALTHCARE SERVICES LC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-26",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A",
        "authorized_official_last_name": "KARGBO",
        "authorized_official_first_name": "DORISHATU",
        "authorized_official_middle_name": "MAKAI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "667-209-4428"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2025; 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.