NPIMap

Organization Active NPI

Ideal Home Care

  • Home Health Agency
  • Cincinnati, OH
National Provider Identifier
1962128611
Registry record updated Oct 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
IDEAL HOME CARE
Practice address
3448 Tallahassee Dr
Cincinnati, OH 45239-7147
Phone
(513) 405-3760
NPI assigned
Oct 14, 2022
Last updated
Oct 14, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2022

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

Authorized official

Name
Ms. Tisa N WaltonNPI 1790376929
Title
Director of Operations
Phone
(513) 405-3760

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X NU
Home Health Agency 251E00000X NU Primary
In Home Supportive Care Agency 253Z00000X NU

Addresses

Primary practice location

3448 Tallahassee Dr
Cincinnati, OH 45239-7147

Mailing address

3448 Tallahassee Dr
Cincinnati, OH 45239-7147

Other identifiers 1

IdentifierTypeStateIssuer
105777131199MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL ihomecare22@gmail.com

National Provider Directory

National Provider Directory
Tax ID family
Ideal Home Care3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1665705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665705600000",
    "number": "1962128611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3448 TALLAHASSEE DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452397147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3448 TALLAHASSEE DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452397147",
            "telephone_number": "513-405-3760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-14",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-14",
        "status": "A",
        "authorized_official_last_name": "WALTON",
        "authorized_official_first_name": "TISA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "513-405-3760",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105777131199",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ihomecare22@gmail.com",
            "affiliation": "N",
            "address_1": "3448 Tallahassee Dr",
            "city": "Cincinnati",
            "state": "OH",
            "country_code": "US",
            "postal_code": "452397147",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2022; 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.