Provider Demographics
NPI:1881848604
Name:IDEAL HOME HEALTH LLC
Entity Type:Organization
Organization Name:IDEAL HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:AMBREEN
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAHID
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-374-8000
Mailing Address - Street 1:20300 SUPERIOR RD
Mailing Address - Street 2:SUITE 170
Mailing Address - City:TAYLOR
Mailing Address - State:MI
Mailing Address - Zip Code:48180-6331
Mailing Address - Country:US
Mailing Address - Phone:734-374-8000
Mailing Address - Fax:734-374-8001
Practice Address - Street 1:20300 SUPERIOR RD
Practice Address - Street 2:SUITE 170
Practice Address - City:TAYLOR
Practice Address - State:MI
Practice Address - Zip Code:48180-6331
Practice Address - Country:US
Practice Address - Phone:734-374-8000
Practice Address - Fax:734-374-8001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-06
Last Update Date:2010-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
239098Medicare Oscar/Certification