Provider Demographics
NPI:1255712253
Name:IDEAL CARE PROVIDERS
Entity type:Organization
Organization Name:IDEAL CARE PROVIDERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:DIANDRA
Authorized Official - Last Name:BARTHOLOMEW GRAHAM
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:614-310-4463
Mailing Address - Street 1:4889 SAWMILL RD
Mailing Address - Street 2:SUITE120
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43235-7266
Mailing Address - Country:US
Mailing Address - Phone:614-310-4463
Mailing Address - Fax:614-300-8152
Practice Address - Street 1:4889 SAWMILL RD
Practice Address - Street 2:SUITE120
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43235-7266
Practice Address - Country:US
Practice Address - Phone:614-310-4463
Practice Address - Fax:614-300-8152
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GRAHAM INVESTMENT HOLDINGS INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-06-16
Last Update Date:2015-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care