Ideal Home Health Services, Inc

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

IDEAL HOME HEALTH SERVICES, INC

Practice address

1420 East Club Blvd
Durham, NC 27704

Phone

(919) 957-8311

Fax

(919) 937-9318

NPI assigned

Jan 10, 2007

Last updated

Oct 7, 2019By 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

Mrs. Patience Chile Ndikom, RN, MHA

Title

Chief Administrative Officer

Phone

(919) 957-8311

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• Optimal Health Services, Inc Former legal business name

Tax ID family

Optimal Living Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Optimal Living Center

  • Adult Care Home Facility
  • Durham, NC
  • NPI 1295047033
  NPD tax ID

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570406400000",
    "number": "1578613097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 EAST CLUB BLVD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "27704",
            "telephone_number": "919-957-8311",
            "fax_number": "919-937-9318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 EAST CLUB BLVD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "27704",
            "telephone_number": "919-957-8311",
            "fax_number": "919-937-9318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL HOME HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2019-10-07",
        "status": "A",
        "authorized_official_last_name": "NDIKOM",
        "authorized_official_first_name": "PATIENCE",
        "authorized_official_middle_name": "CHILE",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "919-957-8311",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, MHA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC1650",
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3409015",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6600585",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100513",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optimal Health Services, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Ideal Day Program
• Idella Wright Homes,LLC
• Juliet Idiagbonya, MSN, RN, FNP-C, WOCN
• Sharif Idris, MD, FRCSC
• Salim Idriss, M.D.
• Michael Pasquale Iezzi, PHD

• In Home Supportive Care Agency in Durham, NC
• Providers in Durham, NC by specialty
• In Home Supportive Care Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2019; 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.