Ideal Healthcare Providers LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

IDEAL HEALTHCARE PROVIDERS LLC

Practice address

490 Bradley Dr Ste a
Fayetteville, GA 30214-2019

Phone

(678) 800-0022

NPI assigned

Jan 22, 2021

Organization subpart

No

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

Authorized official

Name

Christen Jones

Title

Administrator

Phone

(404) 905-5089

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1611273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669593600000",
    "number": "1285224311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6595 ROSWELL RD STE G2375",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303283152",
            "telephone_number": "678-648-1891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 BRADLEY DR STE A",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302142019",
            "telephone_number": "678-800-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL HEALTHCARE PROVIDERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-22",
        "last_updated": "2022-11-28",
        "certification_date": "2021-10-26",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "CHRISTEN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "404-905-5089"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Hutcheson, PA-C
• Jane Ellen Hutchinson, M.A., CCC-SLP
• Dishea Shantel Hutt, RBT
• Phung Huynh
• HWC Therapy Center, Inc.
• Ideal Therapy, LLC
• Precious Onote Idogun, MD
• Precious Ikpeamarom
• In Good Hands Freedom Medical, LLC
• Infinite Business Venture LLC D/B/a Functional and Restorative Health

• Home Health Agency in Fayetteville, GA
• Providers in Fayetteville, GA by specialty
• Home Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; 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.