Provider Demographics
NPI:1437196557
Name:IDEAL HEALTH CARE , L.L.C.
Entity Type:Organization
Organization Name:IDEAL HEALTH CARE , L.L.C.
Other - Org Name:MOBILITY CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RAKESH
Authorized Official - Middle Name:
Authorized Official - Last Name:JAIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-762-4400
Mailing Address - Street 1:60 LINCOLN HWY
Mailing Address - Street 2:
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08820-3908
Mailing Address - Country:US
Mailing Address - Phone:973-762-4400
Mailing Address - Fax:973-762-3838
Practice Address - Street 1:60 LINCOLN HWY
Practice Address - Street 2:
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08820-3908
Practice Address - Country:US
Practice Address - Phone:973-762-4400
Practice Address - Fax:973-762-3838
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-31
Last Update Date:2022-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ3218601Medicaid
NJ577893OtherAETNA
NJ3218601Medicaid