Ideal Home Care, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

IDEAL HOME CARE, INC.

Practice address

720 E Arrow Hwy
Covina, CA 91722-2103

Phone

(626) 966-7677

Fax

(626) 966-5260

NPI assigned

Mar 3, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Nenita A Vitug, LVN

Title

Administrator

Phone

(626) 966-7677

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 557774

Legal name

IDEAL HOME CARE, INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jan 6, 1997

Last certification

Feb 14, 2019

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Feb 6, 1996 in CA

Enrollment address

2117 Foothill Blvd
Ste J
La Verne, CA 91750-2902

Listed as

Ideal Home Care IncCCN 557774

Ownership

Proprietary

Certified

Jan 6, 1997

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 3

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

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yulionas Gayauskas, M.D.

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1487668836
  NPD (past)
• Margarita Lucas Lewis-Upton

  • Gerontology Nurse Practitioner
  • Fontana, CA
  • NPI 1881426476
  NPD (past)
• Hedy Cecilia Loa, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Ontario, CA
  • NPI 1093720666
  NPD (past)

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Butool Saba Abdullah, MD

  • Family Medicine Physician
  • Fontana, CA
  • NPI 1285130708

  Home health agency

  Care Compare affiliation
• Marilynn W Moore, MD

  • Internal Medicine Physician
  • Pasadena, CA
  • NPI 1306824545

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619944089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 E ARROW HWY",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917222103",
            "telephone_number": "626-966-7677",
            "fax_number": "626-966-5260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 E ARROW HWY",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917222103",
            "telephone_number": "626-966-7677",
            "fax_number": "626-966-5260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VITUG",
        "authorized_official_first_name": "NENITA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "626-966-7677",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LVN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Melanie Ibarra
• Anthony Ibeabuchi
• Liana Ibrahim
• Mariam G Ibrahim
• Melissa Ibrahim, ASW
• Zaheib Idrees, D.O.
• Veronica Laura Iglesias, MS,CCC-SLP
• Ciara Galicia Igros, OT
• Ochea Robby Georgen Ikpa
• Sultana Ikramullah, M.D.

• Home Health Agency in Covina, CA
• Providers in Covina, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.