Ideal Adult Daycare Inc

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

IDEAL ADULT DAYCARE INC

Practice address

4040 E Broad St
Suite 125
Columbus, OH 43213-1156

Phone

(614) 483-2441

NPI assigned

Jun 10, 2010

Organization subpart

No

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

Authorized official

Name

Anna Krupovlyanskaya

Title

Ceo

Phone

(614) 483-2441

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1276128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276128000000",
    "number": "1518287796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4040 E BROAD ST",
            "address_2": "SUITE 125",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432131156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 E BROAD ST",
            "address_2": "SUITE 125",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432131156",
            "telephone_number": "614-483-2441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL ADULT DAYCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-10",
        "last_updated": "2010-06-10",
        "status": "A",
        "authorized_official_last_name": "KRUPOVLYANSKAYA",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "614-483-2441"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Michelle Ichrist, APRN-CNP
• Ict Venture Group II
• Ict Venture Group LL (Lice Clinics of America Columbus)
• Id Med Inc.
• Shamso Yusuf Idd
• Ideal Care Providers
• Ideal Home Health Inc.
• Ideal Medical Supply Inc
• Ideal Medical Supply Inc (Family Pharmacy)
• Alyssa Emani Ideis, CDCA

• Adult Day Care Clinic/Center in Columbus, OH
• Providers in Columbus, OH by specialty
• Adult Day Care Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2010; 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.