Organization Active NPI

Ivory Health Care Agency, Inc

  • Home Health Agency
  • Richmond, TX
National Provider Identifier
1710079900
Registry record updated Oct 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
010316 Issued in TX
Legal business name
IVORY HEALTH CARE AGENCY, INC
Practice address
301 South 9TH Street Suite 206a
Richmond, TX 77469
Phone
(281) 261-0874
Fax
(281) 499-6686
NPI assigned
Sep 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2013

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

Authorized official

Name
Amoke Yomi Adetayo, BSN/RN
Title
Ceo/Administrator
Phone
(832) 279-7070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 010316 TX Primary

Addresses

Primary practice location

301 South 9TH Street Suite 206a
Richmond, TX 77469

Mailing address

301 South 9TH Street Suite 206a
Richmond, TX 77469
Phone (281) 261-0874

Other identifiers 1

IdentifierTypeStateIssuer
7002269OtherTXSTATE ISSUED UNIQUE #

National Provider Directory

National Provider Directory

Locations

301 S 9th St
Ste 206
Richmond, TX 77469
Phone (281) 261-0874

301 S 9th St
Ste 206A
Richmond, TX 77469
Phone (281) 261-0874

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381708800000",
    "number": "1710079900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 SOUTH 9TH STREET SUITE 206A",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "77469",
            "telephone_number": "281-261-0874",
            "fax_number": "281-499-6686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 SOUTH 9TH STREET SUITE 206A",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "77469",
            "telephone_number": "281-261-0874",
            "fax_number": "281-499-6686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVORY HEALTH CARE AGENCY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2013-10-14",
        "status": "A",
        "authorized_official_last_name": "ADETAYO",
        "authorized_official_first_name": "AMOKE",
        "authorized_official_middle_name": "YOMI",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "832-279-7070",
        "authorized_official_credential": "BSN/RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "010316",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE ISSUED UNIQUE #",
            "identifier": "7002269",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2013; 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.