Provider Demographics
NPI:1164890885
Name:IDEAL HOME CARE INC
Entity Type:Organization
Organization Name:IDEAL HOME CARE INC
Other - Org Name:IDEAL HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:A
Authorized Official - Last Name:CARRABIS
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BC
Authorized Official - Phone:978-204-9152
Mailing Address - Street 1:86 BRIDGE ST
Mailing Address - Street 2:UNIT 104
Mailing Address - City:LOWELL
Mailing Address - State:MA
Mailing Address - Zip Code:01852-1218
Mailing Address - Country:US
Mailing Address - Phone:978-441-9994
Mailing Address - Fax:978-441-4994
Practice Address - Street 1:86 BRIDGE ST
Practice Address - Street 2:UNIT 104
Practice Address - City:LOWELL
Practice Address - State:MA
Practice Address - Zip Code:01852-1218
Practice Address - Country:US
Practice Address - Phone:978-441-9444
Practice Address - Fax:978-441-9449
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-11
Last Update Date:2017-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health