IDEAL HEALTHCARE SERVICES LLC (NPI# 1346890084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346890084 |
| Entity Type | Organization |
| Organization Name | IDEAL HEALTHCARE SERVICES LLC |
| Practice Address |
100 Overlook Ctr Princeton NJ 08540-7814 |
| Mailing Address |
100 Overlook Ctr Ste 2018 Princeton NJ 08540-7814 |
| Practice Telephone | 4124820594 |
| Mailing Telephone | 4124820594 |
| Enumeration Date | 2019-09-15 |
| Last Update Date | 2019-10-08 |
| Authorized Official Name | IDA MICHEL (OWNER) |
| Authorized Official Telephone | 4124820594 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 374U00000X | Home Health Aide | Nursing Service Related Providers | ||
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | NA | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2303 Stillbrook Ln, Princeton, NJ 085406380 | 4124820594 |
| Street Address |
100 OVERLOOK CTR |
| City | PRINCETON |
| State | NJ |
| Zip Code | 08540-7814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356499677 | Dayna W Leonardi | Speech-Language Pathologist | 100 Overlook Ctr, Princeton, NJ 08540-7814 | 2007-01-05 |
| 1962726588 | Julie Cole | Radiology | 100 Overlook Ctr, Princeton, NJ 08540-7814 | 2010-03-25 |
| 1467658260 | Dbl Healthcare Services, LLC | Speech-Language Pathologist | 100 Overlook Ctr, 2nd Floor, Princeton, NJ 08540-7814 | 2007-06-27 |
| 1902925159 | Antoinette Irene Goodwin | Marriage & Family Therapist | 100 Overlook Ctr, 2nd Floor, Princeton, NJ 08540-7814 | 2007-03-28 |
| 1285782508 | Kristin Mccune | Speech-Language Pathologist | 100 Overlook Ctr, Princeton, NJ 08540-7814 | 2007-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003420613 | Samantha Beatriz Manzano | Pharmacist | 301 N Harrison Street, Princeton, NJ 08540 | 2020-09-01 |
| 1306485768 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 414 Freedom Blvd, Princeton, NJ 08540 | 2020-01-03 |
| 1124667589 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 415 Freedom Blvd, Princeton, NJ 08540 | 2020-01-03 |
| 1215576673 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 416 Freedom Blvd, Princeton, NJ 08540 | 2020-01-03 |
| 1508405929 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 411 Freedom Blvd, Princeton, NJ 08540 | 2020-01-02 |
| 1992369698 | Suzanne Haggerty | Social Worker | 716 Executive Drive, Princeton, NJ 08540 | 2019-04-28 |
| 1700349552 | Pdp Associates LLC | Social Worker | 3490 Us Highway 1, Building 16 Suite 112, Princeton, NJ 08540 | 2019-04-09 |
| 1245722438 | Kyle Bonner | Social Worker | 166 Bunn Dr Ste 105, Princeton, NJ 08540 | 2018-06-04 |
| 1942700125 | Lifetouch Behavioral Health, LLC | Community/Behavioral Health | 112 Commons Way, Building 1, Suite 112, Princeton, NJ 08540 | 2018-02-14 |
| 1912407271 | Princeton Psychiatry & Consulting, LLC | Psychiatry & Neurology | 601 Ewing St, Suite C-10, Princeton, NJ 08540 | 2018-02-13 |
| Find all providers in zip 08540 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174161756 | Kimberly Lynn Martin | Case Manager/Care Coordinator | 141 Twin Lake Ln, Princeton, WV 24739-9591 | 2019-12-14 |
| 1972686996 | Molly Brown Moller | Case Manager/Care Coordinator | 1350 Us Highway 62 W, Princeton, KY 42445-6106 | 2006-10-23 |
| 1043810336 | Jessica Nichols | Case Manager/Care Coordinator | 200 12th Street Ext, Princeton, WV 24740-2329 | 2020-10-27 |
| 1124628425 | Lakesha Tate | Case Manager/Care Coordinator | 200 12th Street Ext, Princeton, WV 24740-2329 | 2020-10-27 |
| 1376154617 | Patricia Bolen | Case Manager/Care Coordinator | 200 12th Street Ext, Princeton, WV 24740-2329 | 2020-08-11 |
| 1821607227 | Aaron Zane Pettrey | Case Manager/Care Coordinator | 200 12th Street Ext, Princeton, WV 24740-2329 | 2020-07-31 |
| 1881203008 | Lakie Elizabeth Delida | Case Manager/Care Coordinator | 200 12th Street Ext, Princeton, WV 24740-2329 | 2020-07-23 |
| 1992313613 | Michael Edwin Lewis | Case Manager/Care Coordinator | 200 12th Street Ext, Princeton, WV 24740-2329 | 2020-07-20 |
| 1912520677 | Krystal Rose Carver | Case Manager/Care Coordinator | 200 12th Street Ext, Princeton, WV 24740-2329 | 2020-05-28 |
| 1538796511 | Linda S Smith | Case Manager/Care Coordinator | 200 12th Street Ext, Princeton, WV 24740-2329 | 2020-03-27 |
| Find all providers in PRINCETON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.