Ideal Home Care, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

3001203 Issued in IL

Legal business name

IDEAL HOME CARE, LLC

Practice address

5559 Howard St
Skokie, IL 60077-2621

Phone

(847) 972-6872

Fax

(877) 904-2920

NPI assigned

Jan 13, 2017

Last updated

Jan 13, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Samantha Rodriguez

Title

Agency Manager

Phone

(847) 972-6872

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

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

{
    "created_epoch": "1484265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484265600000",
    "number": "1891231957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5559 HOWARD ST",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600772621",
            "telephone_number": "847-972-6872",
            "fax_number": "877-904-2920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5559 HOWARD ST",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600772621",
            "telephone_number": "847-972-6872",
            "fax_number": "877-904-2920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-13",
        "last_updated": "2017-01-13",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "AGENCY MANAGER",
        "authorized_official_telephone_number": "847-972-6872"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "IL",
            "license": "3001203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shahzmeen Hussain, DMD
• Peter Jae Ho Hwang, DO
• Robert Hwang, PHARM-D
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• Gideon Ifianayi, MS, PHARMD
• Michael Bryan Igaravidez, PSY.D.
• Ijv Home Visits LLC
• Il LTC MHT (Sage Health)
• Jolynette Ella Ilagan, P.T.

• In Home Supportive Care Agency in Skokie, IL
• Providers in Skokie, IL by specialty
• In Home Supportive Care Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.