Organization Active NPI

Ivory Home Health Care, Inc

  • Home Health Agency
  • Long Beach, CA
National Provider Identifier
1205497765
Registry record updated Feb 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
IVORY HOME HEALTH CARE, INC
Practice address
3605 Long Beach Blvd Ste 331
Long Beach, CA 90807-4025
Phone
(562) 349-0860
Fax
(562) 285-7216
NPI assigned
Jun 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2024

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

Authorized official

Name
Adwoa Serwa Osei Nyarko
Title
Ceo
Phone
(562) 349-0860

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Home Health Agency 251E00000X Primary
Home Infusion Agency 251F00000X
Nursing Care Agency 251J00000X
Public Health or Welfare Agency 251K00000X
Community/Behavioral Health Agency 251S00000X
PACE Provider Organization 251T00000X
Voluntary or Charitable Agency 251V00000X
Early Intervention Provider Agency 252Y00000X
Clinic/Center 261Q00000X
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

3605 Long Beach Blvd Ste 331
Long Beach, CA 90807-4025

Mailing address

3605 Long Beach Blvd Ste 331
Long Beach, CA 90807-4025
Phone (562) 349-0860

Other names 1

  • IVORY MEDICAL HOME Doing business as

National Provider Directory

National Provider Directory

Locations

2777 Pacific Ave
Ste K2
Long Beach, CA 90806
Phone (562) 242-1831

3605 Long Beach Blvd
Ste 331
Long Beach, CA 90807
Phone (562) 726-4041

2777 Pacific Ave
#K2
Long Beach, CA 90806

NPI Registry JSON

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

{
    "created_epoch": "1561420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708646400000",
    "number": "1205497765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3605 LONG BEACH BLVD STE 331",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908074025",
            "telephone_number": "562-349-0860",
            "fax_number": "562-285-7216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3605 LONG BEACH BLVD STE 331",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908074025",
            "telephone_number": "562-349-0860",
            "fax_number": "562-285-7216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVORY HOME HEALTH CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-25",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A",
        "authorized_official_last_name": "OSEI NYARKO",
        "authorized_official_first_name": "ADWOA SERWA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "562-349-0860"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IVORY MEDICAL HOME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.