IDEAL HOME CARE NPI 1669689048

NPI Information

NPI: 1669689048
Provider Name: IDEAL HOME CARE
Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
4830 W 130TH ST
HAWTHORNE, CA
ZIP 90250
Phone: (310) 973-8266
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IDEAL HOME CARE is an intermediate care facility mentally retarded in Hawthorne, CA. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. IDEAL HOME CARE NPI is 1669689048. The provider is registered as an organization entity type.

The provider's business location address is:

4830 W 130TH ST
HAWTHORNE, CA
ZIP 90250-010
Phone: (310) 973-8266
Fax: (310) 675-8760

The provider's authorized official is Eugene Hardin .
The authorized official title is Licensee and has the following contact phone number (310) 739-3585.

The enumeration date for this NPI number is 5/17/2007 and was last updated on 8/22/2020.

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	License Number	License State	Primary
1	315P00000X	Intermediate Care Facility, Intellectual Disabilities			CALIFORNIA	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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