Organization Active NPI

Ideal Care & Health Services Inc

  • Substance Abuse Rehabilitation Facility
  • Pomona, CA
National Provider Identifier
1831302371
Registry record updated Sep 14, 2011
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OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(1) exclusion effective Mar 20, 2018.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
190544AN Issued in CA
Legal business name
IDEAL CARE & HEALTH SERVICES INC
Practice address
4 Village Loop Rd Ste B10
Pomona, CA 91766-4891
Phone
(909) 865-0191
Fax
(909) 865-0193
NPI assigned
May 8, 2007
Last updated
Sep 14, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2011

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

Authorized official

Name
Mr. Chris U Vinhellens
Title
Executive Director
Phone
(909) 865-0191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 190544AN CA Primary

Addresses

Primary practice location

4 Village Loop Rd Ste B10
Pomona, CA 91766-4891

Mailing address

4 Village Loop Rd Ste B10
Pomona, CA 91766-4891
Phone (909) 865-0191

Other identifiers 1

IdentifierTypeStateIssuer
190544ANOtherCAAOD CERTIFICATION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Tax ID family
Ideal Care Health Services Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1920 N Garey Ave
Ste A
Pomona, CA 91767

4 Village Loop Rd
Ste B10
Pomona, CA 91766
Phone (909) 865-0191

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315958400000",
    "number": "1831302371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 VILLAGE LOOP RD STE B10",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917664891",
            "telephone_number": "909-865-0191",
            "fax_number": "909-865-0193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 VILLAGE LOOP RD STE B10",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917664891",
            "telephone_number": "909-865-0191",
            "fax_number": "909-865-0193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL CARE & HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2011-09-14",
        "status": "A",
        "authorized_official_last_name": "VINHELLENS",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "U",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "909-865-0191",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "190544AN",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AOD CERTIFICATION",
            "identifier": "190544AN",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, CA

Sources for this page

Verify at the official NPI Registry.