Active NPI
Ideal Care & Health Services Inc
- Substance Abuse Rehabilitation Facility
- Pomona, CA
National Provider Identifier
1831302371
On this page
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.
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- License
- 190544AN
- 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, 2011
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 190544AN | Other | CA | AOD 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 Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- La Verne, CA
- NPI 1578823225
-
- Case Management Agency
- Pomona, CA
- NPI 1316296049
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.