Organization Active NPI

Ideal Care Homes Inc.

  • Licensed Practical Nurse
  • Bellevue, WA
National Provider Identifier
1447180823
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
Legal business name
IDEAL CARE HOMES INC.
Practice address
4205 164TH Ave SE
Bellevue, WA 98006-8940
Phone
(425) 503-6680
NPI assigned
May 19, 2026
Last updated
May 19, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2026

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

Authorized official

Name
Mrs. Dorina Liliana Ilisan, LPN
Title
Owner
Phone
(425) 503-6680

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X Primary

Addresses

Primary practice location

4205 164TH Ave SE
Bellevue, WA 98006-8940

Mailing address

4205 164TH Ave SE
Bellevue, WA 98006-8940
Phone (425) 503-6680

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1779148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779148800000",
    "number": "1447180823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 164TH AVE SE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980068940",
            "telephone_number": "425-503-6680",
            "fax_number": "425-292-2881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4205 164TH AVE SE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980068940",
            "telephone_number": "425-503-6680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL CARE HOMES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-19",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A",
        "authorized_official_last_name": "ILISAN",
        "authorized_official_first_name": "DORINA",
        "authorized_official_middle_name": "LILIANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-503-6680",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; 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.