Ivy Court

LBN: Ivy Court - Coeur D'Alene, Llc
Ivy Court is an health care organization with primary practice located at 2200 Ironwood Pl , Coeur D Alene ID 83814-2610. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Ivy Court - Coeur D'Alene, Llc can be contacted via phone (208) 667-6486, or through Jacobs, Dov E. via phone (323) 678-4426.

Contact Information

Primary practice address
2200 Ironwood Pl Coeur D Alene ID 83814-2610
Phone: (208) 667-6486
Fax: (208) 676-8276
Website:
Map and Directions
Authorized official contact:
Name: Jacobs, Dov E.
Phone: (323) 678-4426

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X

Profile Details

NPI number 1780757427
LBN Legal business name Ivy Court - Coeur D'Alene, Llc
DBA Doing business as Ivy Court
Authorized official Jacobs, Dov E.
Entity Organization
Organization subpart 1 No
Enumeration date Nov 17th, 2006
Last updated Jul 21st, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780757427 NPPES
Idaho MEDICAID 000283600

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