Ideal Lifestyle LLC

Primary specialty

HomemakerTaxonomy code 376J00000X

Legal business name

IDEAL LIFESTYLE LLC

Practice address

2052 Fairfax Rd
Toledo, OH 43613-5117

Phone

(419) 407-0741

NPI assigned

Jun 14, 2023

Last updated

Jun 14, 2023By 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

Shante PrattNPI 1265123939

Title

Owner

Phone

(419) 407-0741

Specialties & licenses 1

Addresses

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.

• Shante Pratt

  • Homemaker
  • Toledo, OH
  • NPI 1265123939
  NPD Authorized official

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

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686700800000",
    "number": "1932883378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2052 FAIRFAX RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436135117",
            "telephone_number": "419-407-0741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2052 FAIRFAX RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436135117",
            "telephone_number": "419-407-0741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL LIFESTYLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-14",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A",
        "authorized_official_last_name": "PRATT",
        "authorized_official_first_name": "SHANTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-407-0741"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rahaf Ibrahim
• Safa Ibrahim, MPH, CTTS
• Farah Ibraik
• Stacey Lyn Ice, CNP
• Samantha Ide, MSW, LSW
• Mahogany R Idichandy, MD
• Mathew T Idichandy, MD
• Saffa Iftikhar, MD
• Anthony J Ignatovich, PA
• Isabell Igo

• Homemaker in Toledo, OH
• Providers in Toledo, OH by specialty
• Homemaker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; 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.