Organization Active NPI

Ivories Shine Bright LLC

  • In Home Supportive Care Agency
  • Vacaville, CA
National Provider Identifier
1730812645
Registry record updated Jul 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
IVORIES SHINE BRIGHT LLC
Practice address
348 Grape St
Vacaville, CA 95688-2612
Phone
(469) 321-3439
NPI assigned
Jul 7, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2022

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

Authorized official

Name
Teiko Ayewa
Title
Owner
Phone
(469) 321-3439

Specialties & licenses 1

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

Addresses

Primary practice location

348 Grape St
Vacaville, CA 95688-2612

Mailing address

348 Grape St
Vacaville, CA 95688-2612
Phone (469) 321-3439

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1657152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657152000000",
    "number": "1730812645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "348 GRAPE ST",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956882612",
            "telephone_number": "469-321-3439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 GRAPE ST",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956882612",
            "telephone_number": "469-321-3439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVORIES SHINE BRIGHT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-07",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A",
        "authorized_official_last_name": "AYEWA",
        "authorized_official_first_name": "TEIKO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-321-3439"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vacaville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; 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.