Organization Active NPI

Ideal Living Healthcare Services Inc

  • Community/Behavioral Health Agency
  • Upper Marlboro, MD
National Provider Identifier
1891513081
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
IDEAL LIVING HEALTHCARE SERVICES INC
Practice address
5503 Greenpoint LN
Upper Marlboro, MD 20772-4071
Phone
(240) 467-6895
NPI assigned
Sep 27, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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

Authorized official

Name
Isatu Sow, OWNER
Title
Ceo
Phone
(240) 467-6895

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

5503 Greenpoint LN
Upper Marlboro, MD 20772-4071

Mailing address

5503 Greenpoint LN
Upper Marlboro, MD 20772-4071
Phone (240) 467-6895

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1727395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728518400000",
    "number": "1891513081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5503 GREENPOINT LN",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207724071",
            "telephone_number": "240-467-6895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5503 GREENPOINT LN",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207724071",
            "telephone_number": "240-467-6895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL LIVING HEALTHCARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-27",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A",
        "authorized_official_last_name": "SOW",
        "authorized_official_first_name": "ISATU",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "240-467-6895",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Marlboro, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; 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.