MEDICARE: IDEAL CARE FAMILY MEDICAL CLINIC, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician

General Provider Information

NPI Number	:	1881534782
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IDEAL CARE FAMILY MEDICAL CLINIC, LLC

Provider Business Mailing Address
First Line	:	997 ALLEN GORDY RD
Second Line	:
City	:	LEESVILLE
State	:	LA
Zip	:	71446-7453
Country	:	US
Telephone Number	:	337-208-5055
Fax Number	:

Provider Business Practice Location Address
First Line	:	935 VERONE TER
Second Line	:
City	:	LEESVILLE
State	:	LA
Zip	:	71446-4254
Country	:	US
Telephone Number	:	337-208-5055
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MS. SHERRI EARLENE BENNETT
Credential	:	APRN FNP-C
Telephone Number	:	337-208-5055

Provider Enumeration Date	:	03/30/2026
Last Update Date	:	06/07/2026

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