NPIMap

Organization Active NPI

Ivy League Homecare

  • In Home Supportive Care Agency
  • Windsor Mill, MD
National Provider Identifier
1700251014
Registry record updated Dec 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
IVY LEAGUE HOMECARE
Practice address
2505 Lord Baltimore Dr Ste a-17
Windsor Mill, MD 21244-2673
Phone
(443) 675-6598
NPI assigned
Dec 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2015

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

Authorized official

Name
Courtney Teonna Mabrey
Title
Ceo
Phone
(443) 675-6598

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X MD Primary

Addresses

Primary practice location

2505 Lord Baltimore Dr Ste a-17
Windsor Mill, MD 21244-2673

Mailing address

2505 Lord Baltimore Dr Ste a-17
Windsor Mill, MD 21244-2673
Phone (443) 675-6598

National Provider Directory

National Provider Directory

Locations

2505 Lord Baltimore Dr
Ste A17
Windsor Mill, MD 21244
Phone (443) 675-6598

NPI Registry JSON

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

{
    "created_epoch": "1449792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449792000000",
    "number": "1700251014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 LORD BALTIMORE DR STE A-17",
            "city": "WINDSOR MILL",
            "state": "MD",
            "postal_code": "212442673",
            "telephone_number": "443-675-6598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 LORD BALTIMORE DR STE A-17",
            "city": "WINDSOR MILL",
            "state": "MD",
            "postal_code": "212442673",
            "telephone_number": "443-675-6598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVY LEAGUE HOMECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-11",
        "last_updated": "2015-12-11",
        "status": "A",
        "authorized_official_last_name": "MABREY",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_middle_name": "TEONNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-675-6598"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windsor Mill, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2015; 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.