IDEAL PROVIDER LLC NPI 1013141357

NPI Information

NPI: 1013141357
Provider Name: IDEAL PROVIDER, LLC
Classification: Respite Care - 385H00000X
Entity Type: Organization
Address:
8869 CENTRE ST # 3
SOUTHAVEN, MS
ZIP 38671
Phone: (662) 342-7023
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IDEAL PROVIDER, LLC is a respite care in Southaven, MS. IDEAL PROVIDER, LLC NPI is 1013141357. The provider is registered as an organization entity type.

The provider's business location address is:

8869 CENTRE ST # 3
SOUTHAVEN, MS
ZIP 38671-725
Phone: (662) 342-7023
Fax: (662) 342-7089

The provider's authorized official is Ngozi Edmunds .
The authorized official title is President and has the following contact phone number (662) 342-7023.

The enumeration date for this NPI number is 5/13/2009 and was last updated on 5/13/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	No
2	282E00000X	Long Term Care Hospital		No
3	385H00000X	Respite Care		Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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