1. Home
  2. Directory
  3. Mississippi
  4. Southaven
  5. Respite Care
  6. NPI Profile

IDEAL PROVIDER, LLC
NPI 1013141357
Respite Care in Southaven, MS

Active since May 13, 2009
8869 CENTRE ST # 3, SOUTHAVEN, MS 38671(662) 342-7023(662) 342-7089 Get Directions Write a Review

NPPES record last updated: May 13, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ideal Provider, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IDEAL PROVIDER, LLC (NPI 1013141357) is a healthcare organization registered as a respite care in Southaven, Mississippi and active in the NPI registry since May 2009. The organization lists Ngozi Edmunds, President, as its authorized official.

NPPES Registry Identity

NPI1013141357
Entity TypeOrganization
Primary Taxonomy385H00000X
Legal Business NameIDEAL PROVIDER, LLC
Location Address8869 CENTRE ST # 3Southaven, MS 38671-1725
Mailing Address8869 Centre StSouthaven, MS 38671-1725 · (662) 342-7023 · Fax (662) 342-7089
Phone(662) 342-7023
Fax(662) 342-7089
Organization SubpartNo
Authorized OfficialNgozi EdmundsPresident · (662) 342-7023
Enumeration DateMay 13, 2009
✔ NPI 1013141357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyRespite CareRespite Care Facility
Taxonomy Code385H00000X
Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X
Also ListedLong Term Care HospitalTaxonomy 282E00000X
8869 CENTRE ST # 3, Southaven, MS 38671
Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ideal Provider, LLC's NPI number?

The NPI number for Ideal Provider, LLC is 1013141357. It was assigned to this organization in the NPPES registry on May 13, 2009.

Where is Ideal Provider, LLC located?

Ideal Provider, LLC is located at 8869 Centre St # 3, Southaven, MS 38671. The listed phone number is (662) 342-7023.

What is Ideal Provider, LLC's specialty?

The primary specialty registered for this NPI is Respite Care with taxonomy code 385H00000X.

When was this NPI record last updated?

The NPPES record for Ideal Provider, LLC was last updated on May 13, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.