IDEAL HEALTH CLINIC LLC
NPI 1235828385
Nurse Practitioner - Family in Indianapolis, IN

Active since May 04, 2023CLIA 15D2283714 · Waiver
3881 EAGLE CREEK PKWY STE A, INDIANAPOLIS, IN 46254(317) 730-3956 Get Directions Write a Review

NPPES record last updated: March 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ideal Health Clinic Llc NPPES

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

IDEAL HEALTH CLINIC LLC (NPI 1235828385) is a healthcare organization registered as a family in Indianapolis, Indiana and active in the NPI registry since May 2023. The organization holds a CLIA Waiver certificate valid through June 11, 2027 and lists Schani Manungo, Owner, as its authorized official.

NPPES Registry Identity

NPI1235828385
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameIDEAL HEALTH CLINIC LLC
Location Address3881 EAGLE CREEK PKWY STE AIndianapolis, IN 46254-5600
Mailing Address3881 Eagle Creek Pkwy Ste AIndianapolis, IN 46254-5600 · (317) 969-8332 · Fax (317) 969-8494
Organization SubpartNo
Authorized OfficialSchani ManungoOwner · (317) 730-3956
Enumeration DateMay 4, 2023
Last NPPES UpdateMarch 18, 2024
NPPES CertifiedMarch 18, 2024
NPI 1235828385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
3881 EAGLE CREEK PKWY STE A, Indianapolis, IN 46254

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D2283714

Ideal Health Clinic LLC · Indianapolis, IN
Active · expires Jun 11, 2027
CLIA Number15D2283714
Laboratory TypePractitioner Other
Certificate Effective DateJune 12, 2025
Certificate Expiration DateJune 11, 2027
Laboratory DirectorWillie M. Talbert
Laboratory Phone(317) 730-3956
Laboratory LocationIdeal Health Clinic LLC3881 Eagle Creek Parkway Suite A, Indianapolis, IN 46254
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
3881 EAGLE CREEK PKWY STE A
INDIANAPOLIS, IN 46254

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 Health Clinic LLC's NPI number?

The NPI number for Ideal Health Clinic LLC is 1235828385. It was assigned to this organization in the NPPES registry on May 4, 2023.

Where is Ideal Health Clinic LLC located?

Ideal Health Clinic LLC is located at 3881 Eagle Creek Pkwy Ste A, Indianapolis, IN 46254. The listed phone number is (317) 730-3956.

What is Ideal Health Clinic LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Ideal Health Clinic LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2283714) is associated with this NPI, valid through June 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Ideal Health Clinic LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Ideal Health Clinic LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ideal Health Clinic LLC was last updated on March 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.