Ivyhealth Network LLC Dba Ivy Health Network

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

IVYHEALTH NETWORK LLC DBA IVY HEALTH NETWORK

Practice address

32799 Woodward Ave Ste 1
Royal Oak, MI 48073-0954

Phone

(248) 789-8504

NPI assigned

Aug 18, 2020

Last updated

Aug 18, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Janeau Deese

Title

Owner

Phone

(248) 789-8504

Specialties & licenses 9

Addresses

Locations

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

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597708800000",
    "number": "1568074862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32799 WOODWARD AVE STE 1",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480730954",
            "telephone_number": "248-789-8504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32799 WOODWARD AVE STE 1",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480730954",
            "telephone_number": "248-789-8504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVYHEALTH NETWORK LLC DBA IVY HEALTH NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-18",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A",
        "authorized_official_last_name": "DEESE",
        "authorized_official_first_name": "JANEAU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-789-8504"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2055X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Mental Illness, Child",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2065X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Physical Disabilities, Child",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Isbell, PT
• Kristin Mary Isherwood, OTR/L
• Kristina Ivan, MS, CGC
• Ciara Jordan Ivanics, MD
• Felicia Ivascu
• Rajesh V Iyer, MD
• Abdelrahman Izraiqi, M.D.
• J. Bruce Hillenberg, PH.D., P.L.L.C.
• Kausar J Jabbar, MD
• Minhaj Jabeer, MD

• Case Management Agency in Royal Oak, MI
• Providers in Royal Oak, MI by specialty
• Case Management Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; 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.