Organization Active NPI

Ideal Healthcare Services LLC

  • Case Manager/Care Coordinator
  • Princeton, NJ
National Provider Identifier
1346890084
Registry record updated Oct 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
IDEAL HEALTHCARE SERVICES LLC
Practice address
100 Overlook Ctr
Princeton, NJ 08540-7814
Phone
(412) 482-0594
NPI assigned
Sep 15, 2019
Last updated
Oct 8, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2019

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

Authorized official

Name
Ida Michel
Title
Owner
Phone
(412) 482-0594

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X NU
Case Manager/Care Coordinator 171M00000X NU Primary

Addresses

Primary practice location

100 Overlook Ctr
Princeton, NJ 08540-7814

Mailing address

100 Overlook Ctr Ste 2018
Princeton, NJ 08540-7814
Phone (412) 482-0594

Other practice location 1

2303 Stillbrook Ln
Princeton, NJ 08540-6380
Phone (412) 482-0594

Other identifiers 1

IdentifierTypeStateIssuer
NAMedicaidNJ

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL info@ihcs-nj.com Direct

National Provider Directory

National Provider Directory

Locations

100 Overlook Ctr
Ste 2018
Princeton, NJ 08540

NPI Registry JSON

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

{
    "created_epoch": "1568505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570492800000",
    "number": "1346890084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 OVERLOOK CTR STE 2018",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085407814",
            "telephone_number": "412-482-0594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 OVERLOOK CTR",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085407814",
            "telephone_number": "412-482-0594"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2303 Stillbrook Ln",
            "address_purpose": "LOCATION",
            "city": "Princeton",
            "state": "NJ",
            "postal_code": "085406380",
            "country_code": "US",
            "telephone_number": "412-482-0594",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "IDEAL HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-15",
        "last_updated": "2019-10-08",
        "status": "A",
        "authorized_official_last_name": "MICHEL",
        "authorized_official_first_name": "IDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "412-482-0594"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NA",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "info@ihcs-nj.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "100 Overlook Ctr",
            "city": "Princeton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "085407814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Princeton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; 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.