# IDEAL HOME CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962128611
- **Authorized official:** MS. TISA N WALTON (DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (513) 405-3760

## Contact information

- **Practice address:** 3448 TALLAHASSEE DR, CINCINNATI, OH 45239-7147
- **Practice address phone:** (513) 405-3760
- **Mailing address:** 3448 TALLAHASSEE DR, CINCINNATI, OH 45239-7147

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251C00000X | Developmentally Disabled Services Day Training Agency | — | — | — |
| 251E00000X | Home Health Agency | — | — | Yes |
| 253Z00000X | In Home Supportive Care Agency | — | — | — |

## Other

- **Enumeration date:** 10/14/2022
- **Last updated:** 10/14/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 105777131199 | — | OH |