IDEAL HEALTH CARE , L.L.C. (NPI# 1437196557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1437196557 |
Entity Type | Organization |
Organization Name | IDEAL HEALTH CARE , L.L.C. |
Other Organization Name | MOBILITY CLINIC |
Practice Address |
2062 Millburn Ave Maplewood NJ 07040 |
Mailing Address |
2062 Millburn Ave Maplewood NJ 07040-3713 |
Practice Telephone | 9737624400 |
Practice Fax Number | 9737623838 |
Mailing Telephone | 9737624400 |
Mailing Fax Number | 9737623838 |
Enumeration Date | 2006-05-31 |
Last Update Date | 2018-06-29 |
Authorized Official Name | MR. RAKESH JAIN (PRESIDENT) |
Authorized Official Telephone | 9737624400 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers | ||
Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NJ | 3218601 | 05 | |
NJ | AETNA | 577893 | 01 |
Other Name | Type Code |
---|---|
MOBILITY CLINIC | Doing Business As Name - Organization |
Street Address |
2062 MILLBURN AVE |
City | MAPLEWOOD |
State | NJ |
Zip Code | 07040 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568016640 | Ideal Rehab Care Inc | Clinic/Center | 2062 Millburn Ave, Maplewood, NJ 07040-3713 | 2019-07-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538654462 | Ajibola G Alli | Counselor | 15 Hausmann Ct Fl 1, Maplewood, NJ 07040 | 2018-06-23 |
1487142980 | Monica Goodrich | Student in an Organized Health Care Education/Training Program | Winchester Gardens, 333 Elmwood Ave, Maplewood, NJ 07040 | 2018-04-30 |
1487173795 | Jessica M Hodge | Marriage & Family Therapist | 35 Marie Place, Maplewood, NJ 07040 | 2017-09-18 |
1386173797 | Marianne Nadine Rubino | Social Worker | 111 Dunnell Road, Suite 201-8, Maplewood, NJ 07040 | 2017-06-08 |
1629504881 | Krishna Surapaneni | Pharmacist | 747 Irvington Avenue, Maplewood, NJ 07040 | 2017-05-10 |
1548717143 | Mindset Psychotherapy Center | Social Worker | 2040 Millburn Ave. Suite 205, Maplewood, NJ 07040 | 2016-09-01 |
1588010888 | Rochelle Laverne Brunson | Massage Therapist | 2130 Millburn Ave., Suite C8, Maplewood, NJ 07040 | 2016-05-05 |
1881082774 | Perry Grossman | Physical Medicine & Rehabilitation | 137 Parker Avenue, Maplewood, NJ 07040 | 2014-12-31 |
1124436746 | Karen Reckson | Specialist | 24 Beach Place, Maplewood, NJ 07040 | 2014-07-28 |
1427462670 | Appetite for Health | Dietitian, Registered | 94 Claremont Ave, Maplewood, NJ 07040 | 2014-06-16 |
Find all providers in zip 07040 |
Taxonomy Code | 332B00000X |
Grouping | Suppliers |
Classification | Durable Medical Equipment & Medical Supplies |
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215323589 | Corner Medical LLC | Durable Medical Equipment & Medical Supplies | 1868 Beam Ave, Maplewood, MN 55109-1162 | 2015-04-13 |
1861888299 | New Jersey Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 453 Valley St, Maplewood, NJ 07040-1330 | 2015-04-13 |
1306194220 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 7470 Manchester Rd, Maplewood, MO 63143-3032 | 2012-08-27 |
1598900631 | Osha Data/cih, Inc. | Durable Medical Equipment & Medical Supplies | 12 Hoffman St, Maplewood, NJ 07040-1114 | 2008-12-03 |
1336305713 | Edi | Durable Medical Equipment & Medical Supplies | 36 Newark Way, Suite 202, Maplewood, NJ 07040-3310 | 2008-08-05 |
1356519268 | Liberty Oxygen and Home Care, Inc | Durable Medical Equipment & Medical Supplies | 1715-d Beam Avenue, Maplewood, MN 55109 | 2008-02-13 |
1457533143 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2920 White Bear Ave N, Maplewood, MN 55109 | 2007-12-04 |
1023123163 | Supervalu Pharmacies Inc | Durable Medical Equipment & Medical Supplies | 2390 White Bear Ave N, Maplewood, MN 55109 | 2006-08-20 |
1730109588 | Nextra Health, Inc. | Durable Medical Equipment & Medical Supplies | 10 Sunnen Dr, Ste 100, Maplewood, MO 63143-3838 | 2006-07-21 |
1043237373 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 2100 Maplewood Commons Dr, Maplewood, MO 63143-1015 | 2006-07-16 |
Find all providers in MAPLEWOOD |
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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.