IDEAL COMMUNITY CARE,LLC – NPI #1295160463
Respite Care

IDEAL COMMUNITY CARE,LLC is a respite care facility located in SOUTHAVEN, MS. NPPES has assigned the NPI number 1295160463 to IDEAL COMMUNITY CARE,LLC on September 06, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 385H00000X from the Health Care Provider Taxonomy code set, which is classified as Respite Care.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for IDEAL COMMUNITY CARE,LLC below.

NPI Profile for
IDEAL COMMUNITY CARE,LLC

NPI Number
1295160463
Enumeration Date

(about 13 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
IDEAL COMMUNITY CARE,LLC
Primary location
8869 CENTRE STR #3
SOUTHAVEN, MS 38671
Phone: (662) 342-7023 Fax: (662) 342-7089
Mailing address
8869 CENTRE ST STE 3
SOUTHAVEN, MS 38671-1725
Phone: (662) 342-7023 Fax: (662) 342-7089
Organization Subpart
No
Authorized Official
NGOZI EDMUNDS
ADMINISTRATOR
Phone: (662) 342-7023
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
385H00000X
- Respite Care (Primary)
253Z00000X
- In Home Supportive Care

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.