Ideal Home Care in Hawthorne - Intermediate Care Facility, Intellectual Disabilities
Ideal Home Care - NPI 1669689048
Ideal Home Care is a Intermediate Care Facility, Intellectual Disabilities in Hawthorne, California. Ideal Home Care practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Ideal Home Care is 1669689048. The last update date is 2020-08-22.
Ideal Home Care's current location address is 4830 W 130th St, Hawthorne, California. You can contact this provider via phone number 3109738266 and fax number 3106758760. The mailing address for Ideal Home Care is 4830 W 130th St, Hawthorne, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Ideal Home Care |
|---|---|
| Address | 4830 W 130th St, Hawthorne, California |
| Phone Number | 3109738266 |
| Fax Number | 3106758760 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | LICENSEE |
|---|---|
| Authorized Official Name | Hardin Eugene |
| Credentials | M.D. |
| Telephone Number | 3107393585 |
NPI Number Detail
| NPI Number | 1669689048 |
|---|---|
| Provider Enumeration Date | 2007-05-17 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 4830 W 130th St |
|---|---|
| City | Hawthorne |
| State | California (CA) |
| Post Code | 902505010 |
| Phone Number | 3109738266 |
| Fax Number | 3106758760 |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Intellectual Disabilities |
|---|---|
| Taxonomy | 315P00000X |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Ideal Home Care by the Centers for Medicare & Medicaid Services?
The Ideal Home Care has been issued the NPI (National Provider Identifier) 1669689048 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Ideal Home Care is physically located?
The Ideal Home Care is situated at the following address: 4830 W 130Th St, Hawthorne, CA 902505010.
What is the Ideal Home Care's specialty and taxonomy code?
The Ideal Home Care's specialty is Intermediate Care Facility, Intellectual Disabilities, and the corresponding taxonomy code is 315P00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1669689048 to Ideal Home Care?
The Centers for Medicare & Medicaid Services assigned the 1669689048 to Ideal Home Care on 2007-05-17.
As of what date were the details pertaining to Ideal Home Care last refreshed?
The information related to the Ideal Home Care, including its address, specialty, and other relevant details, was last updated on 2020-08-22.