Ivanhoe Alf Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

IVANHOE ALF INC

Practice address

5620 Hawkes Bluff Ave
Davie, FL 33331-2525

Phone

(954) 880-4075

Fax

(754) 223-5895

NPI assigned

Sep 12, 2022

Organization subpart

No

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

Authorized official

Name

Maridelys Mora Arias

Title

Administrator

Phone

(954) 880-4075

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705363200000",
    "number": "1821710468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5620 HAWKES BLUFF AVE",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333312525",
            "telephone_number": "954-880-4075",
            "fax_number": "754-223-5895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5620 HAWKES BLUFF AVE",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333312525",
            "telephone_number": "954-880-4075",
            "fax_number": "754-223-5895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVANHOE ALF INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-12",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A",
        "authorized_official_last_name": "MORA ARIAS",
        "authorized_official_first_name": "MARIDELYS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "954-880-4075"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ernaecha Camryll Isidor
• Myriamme Ismael
• Saiqa I Ismail I, M.D.
• Jennie Ison, MD
• Lailah Issac, DO
• Lisa Izenwasser, MA CCC-SLP
• J & G Medical Associates PA
• Reza Jabbary
• Zamzam Jaber
• Jackson Hospital

• Assisted Living Facility in Davie, FL
• Providers in Davie, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; 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.