Ivy in-Home Care Services Inc.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

IVY IN-HOME CARE SERVICES INC.

Practice address

2266 S Dobson Rd Ste 200
PMB# 2625
Mesa, AZ 85202-6412

Phone

(602) 584-3384

NPI assigned

May 22, 2019

Organization subpart

No

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

Authorized official

Name

Candice Christian Ivy

Title

President

Phone

(480) 570-7681

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1558483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560470400000",
    "number": "1174180442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2266 S DOBSON RD STE 200",
            "address_2": "PMB# 2625",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852026412",
            "telephone_number": "602-584-3384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2266 S DOBSON RD STE 200",
            "address_2": "PMB# 2625",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852026412",
            "telephone_number": "602-584-3384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVY IN-HOME CARE SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-22",
        "last_updated": "2019-06-14",
        "status": "A",
        "authorized_official_last_name": "IVY",
        "authorized_official_first_name": "CANDICE",
        "authorized_official_middle_name": "CHRISTIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-570-7681"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "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 Jun 14, 2019; 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.