Ideal Support Services

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

IDEAL SUPPORT SERVICES

Practice address

6031 Kansas Ave NW
NW Suite 201
Washington, DC 20011-1566

Phone

(410) 258-9310

Fax

(410) 665-7558

NPI assigned

Jul 1, 2016

Organization subpart

No

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

Authorized official

Name

Nicole Long

Title

Administrator

Phone

(443) 442-6043

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1467331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467331200000",
    "number": "1295187243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6031 KANSAS AVE NW",
            "address_2": "NW SUITE 201",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200111566",
            "telephone_number": "410-258-9310",
            "fax_number": "410-665-7558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6031 KANSAS AVE NW",
            "address_2": "NW SUITE 201",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200111566",
            "telephone_number": "410-258-9310",
            "fax_number": "410-665-7558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL SUPPORT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-01",
        "last_updated": "2016-07-01",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "443-442-6043"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ideal Academy Public Charter School
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• Ideal Nursing Services Inc
• Joy Idika
• Idoc Optical P C
• Mercy Idoko
• Abimbola Idowu
• Ayodeji Timothy Idowu, D.D.S

• Case Management Agency in Washington, DC
• Providers in Washington, DC by specialty
• Case Management Agency in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2016; 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.