Ideal Care Health Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

IDEAL CARE HEALTH SERVICES LLC

Practice address

1641 E Flamingo Rd Ste 13
Las Vegas, NV 89119-5257

Phone

(702) 331-1426

Fax

(702) 331-4756

NPI assigned

Jul 9, 2019

Last updated

Nov 10, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Raymund Mora Lontoc, RNNPI 1184743213

Title

RN/Administrator

Phone

(702) 331-1426

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1447802574. Details of each certification follow.

• CCN 297307 Home health agency · Active · Details

Home health agency certification: CCN 297307

Legal name

IDEAL CARE HEALTH SERVICES LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jun 18, 2021

Last certification

Jun 18, 2021

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

May 20, 2018 in NV

Enrollment address

1641 E Flamingo Rd
Ste 13
Las Vegas, NV 89119-5257

Listed as

Ideal Care Health Services, LLCCCN 297307 · All quality measures

Overall star rating

1.5 of 5

Ownership

Proprietary

Certified

Jun 18, 2021

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Raymund Mora Lontoc

  • Licensed Vocational Nurse
  • Los Angeles, CA
  • NPI 1184743213
  NPD Authorized official

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

{
    "created_epoch": "1562630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636502400000",
    "number": "1447802574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1641 E FLAMINGO RD STE 13",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195257",
            "telephone_number": "702-331-1426",
            "fax_number": "702-331-4756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1641 E FLAMINGO RD STE 13",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195257",
            "telephone_number": "702-331-1426",
            "fax_number": "702-331-4756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL CARE HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-09",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A",
        "authorized_official_last_name": "LONTOC",
        "authorized_official_first_name": "RAYMUND",
        "authorized_official_middle_name": "MORA",
        "authorized_official_title_or_position": "RN/ADMINISTRATOR",
        "authorized_official_telephone_number": "702-331-1426",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEVADA STATE BUSINESS LICENSE",
            "identifier": "NV20181363119",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Home Health Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.