Ivy Hill Court, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1101 Issued in MA

Legal business name

IVY HILL COURT, INC

Practice address

337 Main Street
Haverhill, MA 01830

Phone

(978) 374-8861

Fax

(978) 374-2109

NPI assigned

Jul 28, 2017

Last updated

Jun 16, 2018By 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

Mr. Viorel Duca Sr.

Title

Owner/Ceo

Phone

(978) 374-8861

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1501200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1639693955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "337 MAIN ST",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018304054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "337 MAIN STREET",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "01830",
            "telephone_number": "978-374-8861",
            "fax_number": "978-374-2109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVY HILL COURT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-28",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "DUCA",
        "authorized_official_first_name": "VIOREL",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "978-374-8861",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": "1101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Alexis Inirio Richards, RN
• German Iosif, M.D.
• Benjamin Isaacman
• Nicole Ivone
• Ivy Hill Assisted Care LLC
• Maria Jackson, LICSW
• Dina Jamil, DMD
• Jana M. Sokol DMD, PC
• Susan Jennifer Janeczek, LMT
• Brianna Jeannette Janes

• Skilled Nursing Facility in Haverhill, MA
• Providers in Haverhill, MA by specialty
• Skilled Nursing Facility in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.