Provider Demographics
NPI:1700055464
Name:IDEAL HOME HEALTH CARE, INC.
Entity Type:Organization
Organization Name:IDEAL HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:VONLEHMDEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:440-359-8730
Mailing Address - Street 1:2211 CROCKER RD STE 140
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-7603
Mailing Address - Country:US
Mailing Address - Phone:440-359-8730
Mailing Address - Fax:800-578-0728
Practice Address - Street 1:26600 DETROIT ROAD, SUITE 100
Practice Address - Street 2:
Practice Address - City:WESTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44145
Practice Address - Country:US
Practice Address - Phone:440-359-8730
Practice Address - Fax:800-578-0728
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-27
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0075102Medicaid
OH368291Medicare Oscar/Certification