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NPI 1881999738

NPI 1881999738 : IDEAL HEALTH CARE SYSTEMS, INC : PEABODY, MA

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General NPI Number Information
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    NPI Number           |    1881999738
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    Entity Type          |    Organization 
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    Legal Business Name  |    IDEAL HEALTH CARE SYSTEMS, INC 
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Dates
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    Enumeration Date     |    01/24/2011
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    Last Update Date     |    12/11/2025
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Provider Practice Location Address
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    Address Line         |    2 BOURBON ST STE 200 
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    City                 |    PEABODY
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    State                |    MA
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    Zip                  |    01960-1334
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    Country              |    US
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    Telephone            |    781-477-9688
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    Fax                  |    781-477-9689
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Provider Business Mailing Address
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    Address Line         |    2 BOURBON ST STE 200 
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    City                 |    PEABODY
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    State                |    MA
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    Zip                  |    01960-1334
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    Country              |    US
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    Telephone            |    781-477-9688
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    Fax                  |    781-477-9689
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Authorized Official
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    Title or Position    |    PRESIDENT/ADMINISTRATOR
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    Name                 |    MR. LEONARD ONEHIREBA ATIVIE 
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    Credential           |    BSN, RN
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    Telephone            |    781-477-9688
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251E00000X
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    Taxonomy Name        |    Home Health Agency
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    License Number       |    
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    License Number State |    
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