Organization Active NPI

Ideal Health Care System, Inc

  • Home Health Agency
  • Peabody, MA
National Provider Identifier
1881999738
Registry record updated Dec 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
IDEAL HEALTH CARE SYSTEM, INC
Practice address
2 Bourbon St Ste 200
Peabody, MA 01960-1334
Phone
(781) 477-9688
Fax
(781) 477-9689
NPI assigned
Jan 24, 2011
Last updated
Dec 26, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2025

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

Authorized official

Name
Mr. Leonard Onehireba Ativie, BSN, RN
Title
President/Administrator
Phone
(781) 477-9688

Specialties & licenses 1

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

Addresses

Primary practice location

2 Bourbon St Ste 200
Peabody, MA 01960-1334

Mailing address

2 Bourbon St Ste 200
Peabody, MA 01960-1334
Phone (781) 477-9688

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251226001221 MA Part A Provider - Home Health Agency 6002302247 Practice locations: Peabody, MA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1881999738. Details of each certification follow.

Home health agency certification: CCN 227545

Legal name
IDEAL HEALTH CARE SYSTEM INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 14, 2011
Last certification
Nov 14, 2011
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Enrollment address
2 Bourbon St
Ste 200
Peabody, MA 01960-1334

Care Compare: Home health agency

Medicare Care Compare
Listed as
Ideal Health Care System IncCCN 227545 · All quality measures
Overall star rating
1.5 of 5
Ownership
Proprietary
Certified
Nov 14, 2011
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
22D2009033Ideal Health Care Systems Inc2 Bourbon Street, Peabody, MA 01960Certificate of waiverJun 23, 2028

National Provider Directory

National Provider Directory

Locations

181 Union St
Ste 206F
Lynn, MA 01901
Phone (781) 477-9688

2 Bourbon St
Ste 200
Peabody, MA 01960
Phone (781) 477-9688

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
Leonard O Ativie Individual 5% Or Greater Direct Ownership InterestPresident/Administrator May 3, 2010 70%
Corporate OfficerPresident/Administrator May 3, 2010 70%
W-2 Managing EmployeeAd;President May 3, 2010 70%
Cecilia O Ativie Individual 5% Or Greater Direct Ownership InterestVP/HR May 3, 2010 30%
Corporate DirectorVP/HR May 3, 2010 30%
W-2 Managing EmployeeVP/HR May 3, 2010 30%

NPI Registry JSON

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

{
    "created_epoch": "1295827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766707200000",
    "number": "1881999738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 BOURBON ST STE 200",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019601334",
            "telephone_number": "781-477-9688",
            "fax_number": "781-477-9689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 BOURBON ST STE 200",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019601334",
            "telephone_number": "781-477-9688",
            "fax_number": "781-477-9689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL HEALTH CARE SYSTEM, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-24",
        "last_updated": "2025-12-26",
        "certification_date": "2025-12-26",
        "status": "A",
        "authorized_official_last_name": "ATIVIE",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_middle_name": "ONEHIREBA",
        "authorized_official_title_or_position": "PRESIDENT/ADMINISTRATOR",
        "authorized_official_telephone_number": "781-477-9688",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BSN, RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peabody, MA

Sources for this page

Verify at the official NPI Registry.