Ivana Home Health Services, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

014765 Issued in TX

Legal business name

IVANA HOME HEALTH SERVICES, LLC

Practice address

12808 W Airport Blvd
Suite 343
Sugar Land, TX 77478-6184

Phone

(281) 212-3442

NPI assigned

Jul 24, 2006

Organization subpart

No

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

Authorized official

Name

Saleem Dattoo Jr.

Title

Administrator

Phone

(281) 208-9600

Specialties & licenses 1

Addresses

Other names 1

• NDSD CORPORATION Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Locations

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• An&SS Care Group LLC

  • Home Health Agency
  • Sugar Land, TX
  • NPI 1619457827

  Sold to, 2018-10-01

  CMS change of ownership

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453420800000",
    "number": "1114949989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12808 W AIRPORT BLVD",
            "address_2": "SUITE 343",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774786184",
            "telephone_number": "281-212-3442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12808 W AIRPORT BLVD",
            "address_2": "SUITE 343",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774786184",
            "telephone_number": "281-212-3442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVANA HOME HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-24",
        "last_updated": "2016-01-22",
        "status": "A",
        "authorized_official_last_name": "DATTOO",
        "authorized_official_first_name": "SALEEM",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "281-208-9600",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "014765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NDSD CORPORATION",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Matthew S Ivey, DPM
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• Tina Iwegbu
• Emake Alice Iwelu, M.D.

• Home Health Agency in Sugar Land, TX
• Providers in Sugar Land, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.