Ivy Home Care Llc

LBN: Ivy Home Care Llc
Ivy Home Care Llc is an health care organization with primary practice located at 7506 S 45Th Ave , Laveen AZ 85339-4296. The organization recently has 2 registered licenses in different health care specialties including Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness is the primary health care specialty. Ivy Home Care Llc can be contacted via phone (480) 300-1277, or through Nikuze, Dorine via phone (480) 300-1277.

Contact Information

Primary practice address
7506 S 45Th Ave Laveen AZ 85339-4296
Phone: (480) 300-1277
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Nikuze, Dorine
Phone: (480) 300-1277

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X

Profile Details

NPI number 1033837968
LBN Legal business name Ivy Home Care Llc
DBA Doing business as
Authorized official Nikuze, Dorine
Entity Organization
Organization subpart 1 No
Enumeration date Aug 17th, 2022
Last updated Aug 17th, 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 1033837968 NPPES
Arizona MEDICAID BH7845

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