Ivy Elite Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

IVY ELITE CARE LLC

Practice address

626 West Lancaster Blvd #114
Palmdale, CA 93551-9355

Phone

(661) 579-3004

NPI assigned

Jan 6, 2023

Organization subpart

No

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

Authorized official

Name

Quintina Warren

Title

Owner

Phone

(661) 579-3004

Specialties & licenses 1

Addresses

Other names 1

• Ivy Elite Care LLC Doing business as

Locations

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

{
    "created_epoch": "1672963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672963200000",
    "number": "1225742091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 W LANCASTER BLVD # 114",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935343108",
            "telephone_number": "661-579-3004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 WEST LANCASTER BLVD #114",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935519355",
            "telephone_number": "661-579-3004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVY ELITE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-06",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-04",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "QUINTINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-579-3004"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ivy Elite Care LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in Palmdale, CA
• Providers in Palmdale, CA by specialty
• In Home Supportive Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; 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.