Organization Active NPI

Ivy Health Case Management LLC

  • Case Manager/Care Coordinator
  • Marietta, GA
National Provider Identifier
1144799545
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
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

Updated by the provider on Nov 19, 2024

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)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.