Organization Active NPI

Ivory Senior Care & DME Company

  • Home Health Agency
  • Little Rock, AR
National Provider Identifier
1487324711
Registry record updated Sep 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
IVORY SENIOR CARE & DME COMPANY
Practice address
6320 Baseline Rd Ste B
Little Rock, AR 72209-4700
Phone
(501) 319-7619
Fax
(501) 353-2089
NPI assigned
Sep 17, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2021

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

Authorized official

Name
William IvoryNPI 1336678036
Title
Owner
Phone
(501) 319-7619

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

6320 Baseline Rd Ste B
Little Rock, AR 72209-4700

Mailing address

6320 Baseline Rd Ste B
Little Rock, AR 72209-4700
Phone (501) 319-7619

Other names 1

  • Ivory Senior Care & DME Former legal business name

National Provider Directory

National Provider Directory

Locations

6320 Baseline Rd
Ste B
Little Rock, AR 72209
Phone (501) 319-7619

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1631836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631836800000",
    "number": "1487324711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6320 BASELINE RD STE B",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722094700",
            "telephone_number": "501-319-7619",
            "fax_number": "501-353-2089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6320 BASELINE RD STE B",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722094700",
            "telephone_number": "501-319-7619",
            "fax_number": "501-353-2089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVORY SENIOR CARE & DME COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-17",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "status": "A",
        "authorized_official_last_name": "IVORY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-319-7619"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ivory Senior Care & DME",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2021; 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.