NPIMap

Organization Active NPI

Ideal Special Services LLC

Doing business as IDEAL Special Services

  • In Home Supportive Care Agency
  • Saint Louis, MO
National Provider Identifier
1629304902
Registry record updated Oct 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
IDEAL SPECIAL SERVICES LLC
Doing business as
IDEAL Special Services
Practice address
777 Craig Rd
Suite 240
Saint Louis, MO 63141-7138
Phone
(314) 373-8945
Fax
(314) 373-8956
NPI assigned
Oct 21, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2009

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

Authorized official

Name
Sara Williams, RN,BSN
Title
Administrator
Phone
(314) 373-8945

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

777 Craig Rd
Suite 240
Saint Louis, MO 63141-7138

Mailing address

777 Craig Rd
Suite 240
Saint Louis, MO 63141-7138
Phone (314) 373-8945

Other names 1

  • IDEAL Special Services Doing business as

National Provider Directory

National Provider Directory

Locations

777 Craig Rd
Ste 240
Saint Louis, MO 63141
Phone (314) 373-8945

NPI Registry JSON

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

{
    "created_epoch": "1256083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256083200000",
    "number": "1629304902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 CRAIG RD",
            "address_2": "SUITE 240",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631417138",
            "telephone_number": "314-373-8945",
            "fax_number": "314-373-8956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 CRAIG RD",
            "address_2": "SUITE 240",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631417138",
            "telephone_number": "314-373-8945",
            "fax_number": "314-373-8956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL SPECIAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-21",
        "last_updated": "2009-10-21",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "314-373-8945",
        "authorized_official_credential": "RN,BSN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IDEAL Special Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2009; 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.