Ivy Home Care LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

IVY HOME CARE LLC

Doing business as

Ivy Home Care

Practice address

7506 S 45TH Ave
Laveen, AZ 85339-4296

Phone

(480) 300-1277

NPI assigned

Aug 17, 2022

Last updated

Aug 17, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dorine Nikuze

Title

Administration

Phone

(480) 300-1277

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• IVY HOME CARE Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1660694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660694400000",
    "number": "1033837968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7506 S 45TH AVE",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853394296",
            "telephone_number": "480-300-1277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7506 S 45TH AVE",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853394296",
            "telephone_number": "480-300-1277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVY HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-17",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-17",
        "status": "A",
        "authorized_official_last_name": "NIKUZE",
        "authorized_official_first_name": "DORINE",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "480-300-1277"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "BH7845",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IVY HOME CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Innovista Tech Solutions LLC
• Integrative Medical Group
• Into Action Recovery Inc
• Into Action Recovery, Inc
• Kaniz Fatema Islam, FNP, PMHNP
• Jackson Medical Solutions, Inc. (JMS)
• Jalamar Compassionate Caregivers LLC
• Harris Jatoi, DDS
• JDL-Ctspa
• Josephine Gibson Jeter

• Mental Illness Community Based Residential Treatment Facility in Laveen, AZ
• Providers in Laveen, AZ by specialty
• Mental Illness Community Based Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.