Organization Active NPI

Ivy Arbor Living, LLC

  • Community/Behavioral Health Agency
  • Mobile, AL
National Provider Identifier
1619854122
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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

Updated by the provider on Aug 18, 2025

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.