Active NPI
Ivy Arbor Living, LLC
- Community/Behavioral Health Agency
- Mobile, AL
National Provider Identifier
1619854122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- IVY ARBOR LIVING, LLC
- Practice address
- 523 Helveston St
Mobile, AL 36617-3134 - Phone
- (251) 202-9698
- NPI assigned
- Aug 18, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tami Edwards
- Title
- Ceo
- Phone
- (251) 202-9698
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary | ||
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X |
Addresses
Primary practice location
523 Helveston St
Mobile, AL 36617-3134
Mailing address
4827 Old National Hwy # 11645
College Park, GA 30337-6234
Phone (251) 202-9698
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755475200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1755475200000",
"number": "1619854122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4827 OLD NATIONAL HWY # 11645",
"city": "COLLEGE PARK",
"state": "GA",
"postal_code": "303376234",
"telephone_number": "251-202-9698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "523 HELVESTON ST",
"city": "MOBILE",
"state": "AL",
"postal_code": "366173134",
"telephone_number": "251-202-9698"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IVY ARBOR LIVING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-08-18",
"last_updated": "2025-08-18",
"certification_date": "2025-08-18",
"status": "A",
"authorized_official_last_name": "EDWARDS",
"authorized_official_first_name": "TAMI",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "251-202-9698"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.