Ivory Home Health Services Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

IVORY HOME HEALTH SERVICES INC.

Practice address

6488 E Main St Ste C
Reynoldsburg, OH 43068-7305

Phone

(614) 221-5035

Fax

(614) 502-7718

NPI assigned

Jan 28, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Arjun Subedi

Title

Owner

Phone

(614) 707-6432

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Home health agency certification: CCN 368480

Legal name

IVORY HOME HEALTH SERVICES INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Apr 23, 2013

Last certification

Mar 13, 2019

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Enrollment address

6488 E Main St
Ste C
Reynoldsburg, OH 43068-7305
HHA Branch

Listed as

Ivory Home Health Services IncCCN 368480

Ownership

Proprietary

Certified

Apr 23, 2013

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Locations

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1264636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748304000000",
    "number": "1144551201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6488 E MAIN ST STE C",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430687305",
            "telephone_number": "614-221-5035",
            "fax_number": "614-502-7718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6488 E MAIN ST STE C",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430687305",
            "telephone_number": "614-221-5035",
            "fax_number": "614-502-7718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVORY HOME HEALTH SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-28",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A",
        "authorized_official_last_name": "SUBEDI",
        "authorized_official_first_name": "ARJUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-707-6432",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1144551201",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Fax",
            "affiliation": "N",
            "endpointDescription": "Fax",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6488 E Main St Ste C",
            "city": "Reynoldsburg",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430687305",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Fax",
            "affiliation": "N",
            "endpointDescription": "Fax",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6488 E Main St Ste C",
            "city": "Reynoldsburg",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430687305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.