Provider Demographics
NPI:1235590761
Name:IDEAL HEALTHCARE NURSING CORPORATION
Entity Type:Organization
Organization Name:IDEAL HEALTHCARE NURSING CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:JAYNE
Authorized Official - Last Name:HO
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:415-606-5213
Mailing Address - Street 1:209 SEBASTIAN DR
Mailing Address - Street 2:
Mailing Address - City:MILLBRAE
Mailing Address - State:CA
Mailing Address - Zip Code:94030-2940
Mailing Address - Country:US
Mailing Address - Phone:415-606-5213
Mailing Address - Fax:
Practice Address - Street 1:209 SEBASTIAN DR
Practice Address - Street 2:
Practice Address - City:MILLBRAE
Practice Address - State:CA
Practice Address - Zip Code:94030-2940
Practice Address - Country:US
Practice Address - Phone:415-606-5213
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-10
Last Update Date:2016-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14707363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty