Organization Active NPI

Ideal Healthcare Staffing

Doing business as Manoah Valley private duty services

  • In Home Supportive Care Agency
  • Lutz, FL
National Provider Identifier
1730428509
Registry record updated Feb 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
IDEAL HEALTHCARE STAFFING
Doing business as
Manoah Valley private duty services
Practice address
1811 Cypress Preserve Dr Apt 108
Lutz, FL 33549-6915
Phone
(888) 616-2111
Fax
(888) 513-9992
NPI assigned
Feb 13, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2013

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

Authorized official

Name
Ms. Urshela Yvonne Morris
Title
Ceo
Phone
(888) 616-2111

Specialties & licenses 1

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

Addresses

Primary practice location

1811 Cypress Preserve Dr Apt 108
Lutz, FL 33549-6915

Mailing address

1811 Cypress Preserve Dr Apt 108
Lutz, FL 33549-6915
Phone (888) 616-2111

Other names 1

  • Manoah Valley private duty services Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1360713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360713600000",
    "number": "1730428509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 CYPRESS PRESERVE DR APT 108",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335496915",
            "telephone_number": "888-616-2111",
            "fax_number": "888-513-9992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 CYPRESS PRESERVE DR APT 108",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335496915",
            "telephone_number": "888-616-2111",
            "fax_number": "888-513-9992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL HEALTHCARE STAFFING",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-13",
        "last_updated": "2013-02-13",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "URSHELA",
        "authorized_official_middle_name": "YVONNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "888-616-2111",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Manoah Valley private duty services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lutz, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2013; 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.