Provider Demographics
NPI:1578823225
Name:IDEAL CARE & HEALTH SERVICES INC
Entity Type:Organization
Organization Name:IDEAL CARE & HEALTH SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:VINHELLENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-865-0191
Mailing Address - Street 1:4 VILLAGE LOOP RD
Mailing Address - Street 2:B-10
Mailing Address - City:POMONA
Mailing Address - State:CA
Mailing Address - Zip Code:91766-4891
Mailing Address - Country:US
Mailing Address - Phone:909-865-0191
Mailing Address - Fax:909-865-0193
Practice Address - Street 1:6601 STEPHENS RANCH RD
Practice Address - Street 2:
Practice Address - City:LA VERNE
Practice Address - State:CA
Practice Address - Zip Code:91750-1146
Practice Address - Country:US
Practice Address - Phone:310-806-2693
Practice Address - Fax:909-865-0193
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:IDEAL CARE & HEALTH SERVICES INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-05-29
Last Update Date:2012-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA190544AN251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health