Ideal Homehealth Agency, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

IDEAL HOMEHEALTH AGENCY, LLC

Practice address

275 Curry Hollow Rd Ste G300
Pittsburgh, PA 15236-4631

Phone

(412) 653-1060

Fax

(412) 653-1045

NPI assigned

Oct 4, 2019

Organization subpart

No

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

Authorized official

Name

Laxmi N Khatiwada

Title

Business Manager/Owner

Phone

(412) 653-1060

Specialties & licenses 6

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Home health agency certification: CCN 398327

Legal name

IDEAL HOMEHEALTH AGENCY LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Oct 13, 2021

Last certification

Oct 13, 2021

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

May 24, 2019 in PA

Enrollment address

101 Towne Square Way
Ste 281
Pittsburgh, PA 15227-3259

Listed as

Ideal Homehealth Agency, LLCCCN 398327

Ownership

Proprietary

Certified

Oct 13, 2021

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Locations

All disclosed owners & managing parties 6

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.

• Tika Dhaurali

  • Home Health Registered Nurse
  • Pittsburgh, PA
  • NPI 1023800505
  NPD
• Ram K Rai, RN

  • Home Health Registered Nurse
  • Pittsburgh, PA
  • NPI 1598556367
  NPD
• Leela Subedi

  • Home Health Registered Nurse
  • Pittsburgh, PA
  • NPI 1841081551
  NPD

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

{
    "created_epoch": "1570147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711065600000",
    "number": "1659912293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 TOWNE SQUARE WAY STE 281",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152273259",
            "telephone_number": "412-653-1060",
            "fax_number": "412-653-1045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 CURRY HOLLOW RD STE G300",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152364631",
            "telephone_number": "412-653-1060",
            "fax_number": "412-653-1045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL HOMEHEALTH AGENCY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-04",
        "last_updated": "2024-03-22",
        "certification_date": "2024-01-02",
        "status": "A",
        "authorized_official_last_name": "KHATIWADA",
        "authorized_official_first_name": "LAXMI",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "BUSINESS MANAGER/OWNER",
        "authorized_official_telephone_number": "412-653-1060"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "224ZF0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapy Assistant, Feeding, Eating & Swallowing",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane C.L. Ichikawa, M.D.
• Sharilynn Ichimura, PT
• Ida'S Homecare Agency LLC
• Lucienne Marie Ide, M.D., PH.D.
• Ideal Facial Plastic & Laser Surgery PC
• Michaela Idleburg-Patty, MS, CGC
• Iejtwins, Inc
• Alex Ielase, MDIV
• Zachary Edward Iezzi, DO
• Justin Ifedigbo

• Home Health Agency in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Home Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2024; 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.