Active NPI
Ivory Home Health Care, Inc
- Home Health Agency
- Long Beach, CA
National Provider Identifier
1205497765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.