Provider Demographics
NPI:1740861087
Name:IDEAL ACCESS LLC
Entity type:Organization
Organization Name:IDEAL ACCESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HOME HEALTH AID CEO PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:KIMSHAI
Authorized Official - Middle Name:S
Authorized Official - Last Name:HOOKS
Authorized Official - Suffix:
Authorized Official - Credentials:FOUNDER OWNER
Authorized Official - Phone:424-666-4298
Mailing Address - Street 1:44907 NORMANDY LN
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93536
Mailing Address - Country:US
Mailing Address - Phone:424-666-4298
Mailing Address - Fax:
Practice Address - Street 1:44907 NORMANDY LN
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93536
Practice Address - Country:US
Practice Address - Phone:424-666-4298
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:IDEAL ACCESS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-04-19
Last Update Date:2021-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty
No372600000XNursing Service Related ProvidersAdult CompanionGroup - Single Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty
No376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty