Active NPI
Ivy Health Case Management LLC
- Case Manager/Care Coordinator
- Marietta, GA
National Provider Identifier
1144799545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Legal business name
- IVY HEALTH CASE MANAGEMENT LLC
- Practice address
- 2453 Powder Springs Rd SW Ste 325a
Marietta, GA 30064-4570 - Phone
- (678) 915-2633
- Fax
- (678) 915-1766
- NPI assigned
- Nov 15, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Contessa Strader, MS
- Title
- Administrator
- Phone
- (678) 524-1220
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary | ||
| Case Management Agency | 251B00000X | |||
| Developmentally Disabled Services Day Training Agency | 251C00000X | |||
| Non-emergency Medical Transport (VAN) | 343900000X |
Addresses
Primary practice location
2453 Powder Springs Rd SW Ste 325a
Marietta, GA 30064-4570
Mailing address
PO Box 904
Mableton, GA 30126-0904
Phone (678) 524-1220
Other practice location 1
2453 Powder Springs Rd SW Ste 310
Marietta, GA 30064-4570
Phone (678) 915-2633
National Provider Directory
National Provider DirectoryLocations
2453 Powder Springs Rd SW
Ste 310
Marietta, GA 30064
Phone (678) 915-2633
2453 Powder Springs Rd SW
Ste 325A
Marietta, GA 30064
Phone (678) 915-2633
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542240000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1731974400000",
"number": "1144799545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 904",
"city": "MABLETON",
"state": "GA",
"postal_code": "301260904",
"telephone_number": "678-524-1220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2453 POWDER SPRINGS RD SW STE 325A",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300644570",
"telephone_number": "678-915-2633",
"fax_number": "678-915-1766"
}
],
"practiceLocations": [
{
"address_1": "2453 Powder Springs Rd SW Ste 310",
"address_purpose": "LOCATION",
"city": "Marietta",
"state": "GA",
"postal_code": "300644570",
"country_code": "US",
"telephone_number": "678-915-2633",
"fax_number": "678-915-1766",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "IVY HEALTH CASE MANAGEMENT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-11-15",
"last_updated": "2024-11-19",
"certification_date": "2024-11-19",
"status": "A",
"authorized_official_last_name": "STRADER",
"authorized_official_first_name": "CONTESSA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "678-524-1220",
"authorized_official_credential": "MS"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": false
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.