Organization Active NPI

My Ideal Care, LLC

  • Durable Medical Equipment & Medical Supplies
  • Thomasville, GA
National Provider Identifier
1265737217
Registry record updated Apr 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MY IDEAL CARE, LLC
Practice address
218 W Jackson St
Suite 204
Thomasville, GA 31792-5491
Phone
(229) 236-0197
Fax
(229) 236-0959
NPI assigned
Jan 24, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2011

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

Authorized official

Name
Mr. Adrian Paul Davis
Title
Owner
Phone
(229) 236-0197

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

218 W Jackson St
Suite 204
Thomasville, GA 31792-5491

Mailing address

218 W Jackson St
Suite 204
Thomasville, GA 31792-5491
Phone (229) 236-0197

National Provider Directory

National Provider Directory
Tax ID family
My Ideal Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1295827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302480000000",
    "number": "1265737217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 W JACKSON ST",
            "address_2": "SUITE 204",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317925491",
            "telephone_number": "229-236-0197",
            "fax_number": "229-236-0959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 W JACKSON ST",
            "address_2": "SUITE 204",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317925491",
            "telephone_number": "229-236-0197",
            "fax_number": "229-236-0959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY IDEAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-24",
        "last_updated": "2011-04-11",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "ADRIAN",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "229-236-0197",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thomasville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2011; 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.