NPIMap

Organization Active NPI

Ivyrose Healthcare

  • Home Health Agency
  • Silver Spring, MD
National Provider Identifier
1316490238
Registry record updated Jul 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
R3881 Issued in MD
Legal business name
IVYROSE HEALTHCARE
Doing business as
FirstLight HomeCare
Practice address
11161 New Hampshire Ave
Suite 402
Silver Spring, MD 20904-2606
Phone
(301) 798-5880
Fax
(301) 798-5887
NPI assigned
Jul 27, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2016

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

Authorized official

Name
George Ezikpe
Title
Executive Director
Phone
(301) 717-0625

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X R3881 MD Primary

Addresses

Primary practice location

11161 New Hampshire Ave
Suite 402
Silver Spring, MD 20904-2606

Mailing address

1310 Leister Dr
Silver Spring, MD 20904-1545
Phone (301) 798-5880

Other names 1

  • FirstLight HomeCare Doing business as

National Provider Directory

National Provider Directory

Locations

11161 New Hampshire Ave
Ste 402
Silver Spring, MD 20904
Phone (301) 798-5880

NPI Registry JSON

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

{
    "created_epoch": "1469577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469577600000",
    "number": "1316490238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 LEISTER DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209041545",
            "telephone_number": "301-798-5880",
            "fax_number": "301-798-5887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11161 NEW HAMPSHIRE AVE",
            "address_2": "SUITE 402",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209042606",
            "telephone_number": "301-798-5880",
            "fax_number": "301-798-5887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVYROSE HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-27",
        "last_updated": "2016-07-27",
        "status": "A",
        "authorized_official_last_name": "EZIKPE",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "301-717-0625"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MD",
            "license": "R3881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FirstLight HomeCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2016; 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.