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General NPI Number Information
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NPI Number | 1700784972
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Entity Type | Organization
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Legal Business Name | IDEAL HOME CARE LLC
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Dates
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Enumeration Date | 10/28/2026
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Last Update Date | 11/03/2026
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Provider Practice Location Address
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Address Line | 2 N CENTRAL AVE STE 1800
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City | PHOENIX
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State | AZ
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Zip | 85004-2139
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Country | US
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Telephone | 602-693-1242
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Fax |
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Provider Business Mailing Address
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Address Line | 2 N CENTRAL AVE STE 1800
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City | PHOENIX
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State | AZ
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Zip | 85004-2139
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Country | US
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Telephone | 602-693-1242
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Fax |
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Authorized Official
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Title or Position | COO
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Name | MR. CASEY WINKLER
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Credential |
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Telephone | 631-335-1422
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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