Ivory Homecare LLC

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

IVORY HOMECARE LLC

Doing business as

Ivory Healthcare Solutions

Practice address

4630 Lipscomb St NE Ste 15
Palm Bay, FL 32905-2940

Phone

(754) 354-0402

NPI assigned

Feb 16, 2022

Last updated

Nov 12, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Fedna Guillaume

Title

President

Phone

(754) 354-0402

Specialties & licenses 2

Addresses

Other names 1

• Ivory Healthcare Solutions Doing business as

Locations

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

{
    "created_epoch": "1644969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731369600000",
    "number": "1205581402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 N UNIVERSITY DR SUITE F100",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333516249",
            "telephone_number": "754-354-0402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4630 LIPSCOMB ST NE STE 15",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329052940",
            "telephone_number": "754-354-0402"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4300 N University Dr",
            "address_2": "Ste F100",
            "address_purpose": "LOCATION",
            "city": "Sunrise",
            "state": "FL",
            "postal_code": "333516249",
            "country_code": "US",
            "telephone_number": "754-354-0402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "IVORY HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-16",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A",
        "authorized_official_last_name": "GUILLAUME",
        "authorized_official_first_name": "FEDNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "754-354-0402"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ivory Healthcare Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Nursing Care Agency in Palm Bay, FL
• Providers in Palm Bay, FL by specialty
• Nursing Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.