IDEAL TREATMENT CENTER LLC
NPI 1336837616
Clinic/Center - Multi-Specialty in Phoenix, AZ
About Ideal Treatment Center Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IDEAL TREATMENT CENTER LLC (NPI 1336837616) is a healthcare organization registered as a multi-specialty in Phoenix, Arizona and active in the NPI registry since April 2023. The organization holds a CLIA Waiver certificate valid through March 5, 2027 and lists Aimee Uwimana, Nurse Practitioner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ideal Treatment Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Ideal Treatment Center LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 03D2319779
Ideal Treatment Center LLC · Phoenix, AZFrequently 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 Treatment Center LLC's NPI number?
The NPI number for Ideal Treatment Center LLC is 1336837616. It was assigned to this organization in the NPPES registry on April 25, 2023.
Where is Ideal Treatment Center LLC located?
Ideal Treatment Center LLC is located at 1717 W Northern Ave Ste 107, Phoenix, AZ 85021. The listed phone number is (602) 612-2305.
What is Ideal Treatment Center LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Is Ideal Treatment Center LLC enrolled in Medicare?
Yes. Ideal Treatment Center LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Ideal Treatment Center LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Ideal Treatment Center LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Ideal Treatment Center LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 03D2319779) is associated with this NPI, valid through March 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Ideal Treatment Center LLC accept?
Health plans from Blue Cross Blue Shield of Arizona list Ideal Treatment Center 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 Treatment Center LLC was last updated on June 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.
# Ideal Treatment Center Llc · NPI 1336837616
Multi-Specialty organization in Phoenix, Arizona. Organization record, active in the CMS NPPES registry since April 25, 2023.
## Identity
- **NPI:** 1336837616 (Entity type: Organization)
- **Enumerated:** April 25, 2023
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Organization subpart:** No
- **Authorized official:** Aimee Uwimana, NURSE PRACTITIONER
## Practice location
- **Address:** 1717 W NORTHERN AVE STE 107, Phoenix, AZ 85021-5400
- **Phone:** (602) 612-2305
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 19, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1336837616) · Data from the CMS NPPES public registry.