NPIMap

Organization Active NPI

Ideal Home Healthcare

  • Home Health Agency
  • Woodbury HTS, NJ
National Provider Identifier
1891327656
Registry record updated Feb 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
IDEAL HOME HEALTHCARE
Practice address
133 Wentz Ave
Woodbury HTS, NJ 08097
Phone
(215) 696-2300
NPI assigned
Feb 10, 2020
Last updated
Feb 10, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2020

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

Authorized official

Name
Kaseim EzellNPI 1154781300
Title
Manager
Phone
(215) 696-2300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

133 Wentz Ave
Woodbury HTS, NJ 08097

Mailing address

133 Wentz Ave
Woodbury HTS, NJ 08097
Phone (215) 696-2300

National Provider Directory

National Provider Directory
Tax ID family
Ideal Home Healthcare2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1581292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581292800000",
    "number": "1891327656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 WENTZ AVE",
            "city": "WOODBURY HTS",
            "state": "NJ",
            "postal_code": "08097",
            "telephone_number": "215-696-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 WENTZ AVE",
            "city": "WOODBURY HTS",
            "state": "NJ",
            "postal_code": "08097",
            "telephone_number": "215-696-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL HOME HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-10",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A",
        "authorized_official_last_name": "EZELL",
        "authorized_official_first_name": "KASEIM",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "215-696-2300"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury HTS, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.