Ideal Care Centers Inc,

Primary specialty

Alzheimer Center (Dementia Center)Taxonomy code 311500000X

License

107206776 Issued in CA

Legal business name

IDEAL CARE CENTERS INC,

Practice address

3618 W Dayton Ave
Fresno, CA 93722-4704

Phone

(559) 275-2488

Fax

(559) 275-2488

NPI assigned

Dec 17, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Gregory Aifehiengbe IdoniNPI 1003231523

Title

President / Ceo

Phone

(559) 718-8857

Specialties & licenses 1

Addresses

Other names 1

• IDEAL CARE CENTERS Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gregory Aifehiengbe Idoni

  • Nursing Home Administrator
  • Fresno, CA
  • NPI 1003231523
  NPD Authorized official

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

{
    "created_epoch": "1450310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450310400000",
    "number": "1386009306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3618 W DAYTON AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937224704",
            "telephone_number": "559-275-2488",
            "fax_number": "559-275-2488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3618 W DAYTON AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937224704",
            "telephone_number": "559-275-2488",
            "fax_number": "559-275-2488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL CARE CENTERS INC,",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-17",
        "last_updated": "2015-12-17",
        "status": "A",
        "authorized_official_last_name": "IDONI",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "AIFEHIENGBE",
        "authorized_official_title_or_position": "PRESIDENT / CEO",
        "authorized_official_telephone_number": "559-718-8857",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "CA",
            "license": "107206776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IDEAL CARE CENTERS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Talab Ibrahim, MD
• Wagih William Ibrahim, MD
• Alyscia Icardo
• Allen Oviemuno Ichide
• Harriet Ichiyama, NP
• Ideal Urgent Care a Medical Corporation
• Funmilayo Helen Idemudia, MD
• Rick Wayne Ideta, OD
• Gregory Aifehiengbe Idoni
• Moazah Iftikhar, MBBS

• Alzheimer Center (Dementia Center) in Fresno, CA
• Providers in Fresno, CA by specialty
• Alzheimer Center (Dementia Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2015; 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.