Ivy Garden Adult Activity Center LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

IVY GARDEN ADULT ACTIVITY CENTER LLC

Doing business as

Ivy Garden Community Center

Practice address

2929 S Halsted St
Chicago, IL 60608-5803

Phone

(312) 929-4577

Fax

(312) 763-6158

NPI assigned

Nov 1, 2021

Organization subpart

No

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

Authorized official

Name

Yman Vien

Title

Director of Planning

Phone

(312) 203-9988

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Ivy Garden Community Center Doing business as

Locations

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

{
    "created_epoch": "1635724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719792000000",
    "number": "1255096640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2929 S HALSTED ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606085803",
            "telephone_number": "312-929-4577",
            "fax_number": "312-763-6158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 S HALSTED ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606085803",
            "telephone_number": "312-929-4577",
            "fax_number": "312-763-6158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVY GARDEN ADULT ACTIVITY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-01",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A",
        "authorized_official_last_name": "VIEN",
        "authorized_official_first_name": "YMAN",
        "authorized_official_title_or_position": "DIRECTOR OF PLANNING",
        "authorized_official_telephone_number": "312-203-9988"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDOA ADS",
            "identifier": "ADS2212020",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ivy Garden Community Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ivy Garden Community Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ivory Healing Counseling LLC
• Betty Ivory
• Mary Ivory, MA LCPC
• Ivy Chicago PC
• Ivy Chicago SC LLC
• Leslie Ivy
• Michelle D Ivy
• Robin Marie Ivy, NP
• Sherann Ivy, APRN-FPA
• Elsa Chiyo A Iwai

• Adult Day Care Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Adult Day Care Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.