NPIMap

Organization Active NPI

Khiale Harvard

Doing business as Ivony Case Management

  • Case Management Agency
  • Nampa, ID
National Provider Identifier
1558633354
Registry record updated Feb 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
KHIALE HARVARD
Doing business as
Ivony Case Management
Practice address
811 12TH Ave S # 2
Nampa, ID 83651-4656
Phone
(208) 571-4018
NPI assigned
Feb 8, 2012
Last updated
Feb 8, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2012

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

Authorized official

Name
Khiale HarvardNPI 1760753578
Title
Owner
Phone
(208) 571-4018

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
Case Management Agency 251B00000X NU Primary

Addresses

Primary practice location

811 12TH Ave S # 2
Nampa, ID 83651-4656

Mailing address

12384 S Abbott Downing Way
Nampa, ID 83686-5693
Phone (208) 571-4018

Other names 1

  • Ivony Case Management Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ivony Case Management2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

811 12th Ave S
#2
Nampa, ID 83651
Phone (208) 571-4018

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1328659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328659200000",
    "number": "1558633354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12384 S ABBOTT DOWNING WAY",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836865693",
            "telephone_number": "208-571-4018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 12TH AVE S # 2",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836514656",
            "telephone_number": "208-571-4018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHIALE HARVARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-08",
        "last_updated": "2012-02-08",
        "status": "A",
        "authorized_official_last_name": "HARVARD",
        "authorized_official_first_name": "KHIALE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-571-4018"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ivony Case Management",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nampa, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2012; 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.