Ideal Care LLC

Primary specialty

Home Health AideTaxonomy code 374U00000X

Legal business name

IDEAL CARE LLC

Practice address

4135 N 108TH Ave Ste 102
Phoenix, AZ 85037-5462

Phone

(623) 297-6427

Fax

(623) 266-0914

NPI assigned

Aug 28, 2020

Last updated

Aug 28, 2020By 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

Mr. Jose P. Orozco

Title

President

Phone

(623) 297-6427

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598572800000",
    "number": "1518570506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4135 N 108TH AVE STE 102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850375462",
            "telephone_number": "623-297-6427",
            "fax_number": "623-266-0914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4135 N 108TH AVE STE 102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850375462",
            "telephone_number": "623-297-6427",
            "fax_number": "623-266-0914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-28",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-28",
        "status": "A",
        "authorized_official_last_name": "OROZCO",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "623-297-6427",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "549231997",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Home Health Aide in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Home Health Aide in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2020; 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.