Organization Active NPI

Ideal Home Health Services LLC

  • Home Health Agency
  • Clarkston, MI
National Provider Identifier
1760631329
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
IDEAL HOME HEALTH SERVICES LLC
Practice address
6751 Dixie Hwy Ste 202
Clarkston, MI 48346-2080
Phone
(586) 323-7110
Fax
(586) 323-7133
NPI assigned
Sep 18, 2008
Last updated
Jun 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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

Authorized official

Name
Dipa ShahNPI 1497085914
Title
President/ Administrator
Phone
(810) 449-0916

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

6751 Dixie Hwy Ste 202
Clarkston, MI 48346-2080

Mailing address

6751 Dixie Hwy Ste 202
Clarkston, MI 48346-2080
Phone (586) 323-7110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081022000256 MI Part A Provider - Home Health Agency 6800954728 Practice locations: Grand Blanc, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1760631329. Details of each certification follow.

Home health agency certification: CCN 239158

Legal name
IDEAL HOME HEALTH SERVICES LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 16, 2008
Last certification
Nov 22, 2019
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Sep 18, 2008 in MI
Enrollment address
8313 Holly Rd
Ste C1
Grand Blanc, MI 48439-2484
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Ideal Home Health Services, LLCCCN 239158 · All quality measures
Overall star rating
2.5 of 5
Ownership
Proprietary
Certified
Dec 16, 2008
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D1091634Ideal Home Health Services LLC8313 Holly Road Suite C-1, Grand Blanc, MI 48439Certificate of waiverNov 5, 2026

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

6751 Dixie Hwy
Ste 202
Clarkston, MI 48346
Phone (586) 323-7110

8313 Holly Rd
Ste C1
Grand Blanc, MI 48439
Phone (800) 557-5186

48380 Van Dyke Ave
Ste 630
Shelby Township, MI 48317
Phone (586) 323-7110

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Dipa D Shah Individual 5% Or Greater Direct Ownership Interest Oct 5, 2017 50%
Corporate DirectorBoard Member Oct 5, 2017
W-2 Managing EmployeeAdmistrator Oct 5, 2017
Meghna B Ruwala Individual 5% Or Greater Direct Ownership Interest Oct 5, 2017 50%
Corporate DirectorBoard Member Oct 5, 2017
W-2 Managing EmployeeAlternate Administrator Oct 5, 2017

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Ideal Hospice Services, Inc.Grand Blanc, MI, CCN 231729 Hospice 5% Or Greater Direct Ownership Interest (100%) Mar 31, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 8

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

NPI Registry JSON

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

{
    "created_epoch": "1221696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750809600000",
    "number": "1760631329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6751 DIXIE HWY STE 202",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483462080",
            "telephone_number": "586-323-7110",
            "fax_number": "586-323-7133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6751 DIXIE HWY STE 202",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483462080",
            "telephone_number": "586-323-7110",
            "fax_number": "586-323-7133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL HOME HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-18",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "DIPA",
        "authorized_official_title_or_position": "PRESIDENT/ ADMINISTRATOR",
        "authorized_official_telephone_number": "810-449-0916"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarkston, MI

Sources for this page

Verify at the official NPI Registry.