Organization Active NPI

Ideal Healthcare Services

  • In Home Supportive Care Agency
  • Raleigh, NC
National Provider Identifier
1649569526
Registry record updated May 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
HC Issued in NC
Legal business name
IDEAL HEALTHCARE SERVICES
Practice address
4900 Waters Edge Dr
Suite 205
Raleigh, NC 27606-2484
Phone
(919) 755-0019
Fax
(919) 755-0021
NPI assigned
Mar 31, 2011
Last updated
May 21, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2012

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

Authorized official

Name
Mrs. Tammy Ylonda Lewis, RN
Title
Ceo
Phone
(919) 755-0019

Specialties & licenses 1

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

Addresses

Primary practice location

4900 Waters Edge Dr
Suite 205
Raleigh, NC 27606-2484

Mailing address

4900 Waters Edge Dr
Suite 205
Raleigh, NC 27606-2463
Phone (919) 755-0019

Other identifiers 1

IdentifierTypeStateIssuer
6602253MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Ideal Healthcare Services2 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.

Locations

4900 Waters Edge Dr
Ste 205
Raleigh, NC 27606
Phone (919) 755-0019

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1301529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337558400000",
    "number": "1649569526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 WATERS EDGE DR",
            "address_2": "SUITE 205",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276062463",
            "telephone_number": "919-755-0019",
            "fax_number": "919-755-0021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 WATERS EDGE DR",
            "address_2": "SUITE 205",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276062484",
            "telephone_number": "919-755-0019",
            "fax_number": "919-755-0021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-31",
        "last_updated": "2012-05-21",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "YLONDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-755-0019",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": "HC",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6602253",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2012; 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.