Provider Demographics
NPI:1659912293
Name:IDEAL HOMEHEALTH AGENCY, LLC
Entity Type:Organization
Organization Name:IDEAL HOMEHEALTH AGENCY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAXMI
Authorized Official - Middle Name:N
Authorized Official - Last Name:KHATIWADA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-653-1060
Mailing Address - Street 1:101 TOWNE SQUARE WAY STE 281
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15227-3259
Mailing Address - Country:US
Mailing Address - Phone:412-653-1060
Mailing Address - Fax:412-653-1045
Practice Address - Street 1:275 CURRY HOLLOW RD STE G300
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15236-4631
Practice Address - Country:US
Practice Address - Phone:412-653-1060
Practice Address - Fax:412-653-1045
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-04
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
No163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Multi-Specialty
No224ZF0002XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy AssistantFeeding, Eating & SwallowingGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty