Ivory's Healthcare Services, LLC

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

Legal business name

IVORY'S HEALTHCARE SERVICES, LLC

Practice address

222 Linglewood Dr
Byram, MS 39272-6018

Phone

(601) 586-9173

NPI assigned

May 26, 2021

Last updated

Jul 13, 2021By 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

Kyla Ivory, RN

Title

Owner

Phone

(601) 586-9173

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1621987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626134400000",
    "number": "1063087542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 LINGLEWOOD DR",
            "city": "BYRAM",
            "state": "MS",
            "postal_code": "392726018",
            "telephone_number": "601-586-9173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 LINGLEWOOD DR",
            "city": "BYRAM",
            "state": "MS",
            "postal_code": "392726018",
            "telephone_number": "601-586-9173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVORY'S HEALTHCARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-26",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A",
        "authorized_official_last_name": "IVORY",
        "authorized_official_first_name": "KYLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-586-9173",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2021; 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.