Organization Active NPI

Ideal Home Care Services, Inc.

  • Home Health Agency
  • Medford, NY
National Provider Identifier
1356679252
Registry record updated Aug 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1971L001 Issued in NY
Legal business name
IDEAL HOME CARE SERVICES, INC.
Practice address
3241 Rout2 112 Building 7
Suite 5
Medford, NY 11763-1424
Phone
(631) 509-5600
Fax
(631) 509-5599
NPI assigned
Dec 3, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2014

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

Authorized official

Name
Mrs. Marie Nicole Laborde, RN
Title
Nurse Coordinator
Phone
(631) 509-5600

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1971L001 NY Primary
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

3241 Rout2 112 Building 7
Suite 5
Medford, NY 11763-1424

Mailing address

3241 Rout2 112 Building 7
Suite 5
Medford, NY 11763-1424
Phone (631) 509-5600

Other names 1

  • Ideal Home Care Services, Inc. Doing business as

National Provider Directory

National Provider Directory

Locations

3241 Route 112
Ste 5
Medford, NY 11763
Phone (631) 509-5600

NPI Registry JSON

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

{
    "created_epoch": "1259798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409097600000",
    "number": "1356679252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3241 ROUT2 112 BUILDING 7",
            "address_2": "SUITE 5",
            "city": "MEDFORD",
            "state": "NY",
            "postal_code": "117631424",
            "telephone_number": "631-509-5600",
            "fax_number": "631-509-5599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3241 ROUT2 112 BUILDING 7",
            "address_2": "SUITE 5",
            "city": "MEDFORD",
            "state": "NY",
            "postal_code": "117631424",
            "telephone_number": "631-509-5600",
            "fax_number": "631-509-5599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL HOME CARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-03",
        "last_updated": "2014-08-27",
        "status": "A",
        "authorized_official_last_name": "LABORDE",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "NURSE COORDINATOR",
        "authorized_official_telephone_number": "631-509-5600",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "1971L001",
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ideal Home Care Services, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Medford, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2014; 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.