Ivy Houses

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

IVY HOUSES

Doing business as

Wink's Place

Practice address

627 W Highland Ave
Albany, GA 31701-2757

Phone

(202) 431-3535

NPI assigned

Nov 21, 2014

Last updated

Nov 21, 2014By the provider in NPPES

Organization subpart

Yes

Parent organization

LAMBS & IVY INCAs reported in NPPES

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

Authorized official

Name

Ms. Nai'Ja Bridges, ESQ.

Title

Executive Director

Phone

(202) 431-3535

Specialties & licenses 3

Addresses

Other names 1

• Wink's Place Doing business as

Part of

Ivy Houses

Locations

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

{
    "created_epoch": "1416528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416528000000",
    "number": "1861899759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 PENNSYLVANIA AVE NW",
            "address_2": "SUITE 300",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200065805",
            "telephone_number": "202-431-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 W HIGHLAND AVE",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317012757",
            "telephone_number": "202-431-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVY HOUSES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LAMBS & IVY INC",
        "enumeration_date": "2014-11-21",
        "last_updated": "2014-11-21",
        "status": "A",
        "authorized_official_last_name": "BRIDGES",
        "authorized_official_first_name": "NAI'JA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "202-431-3535",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ESQ."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "GA",
            "license": null,
            "primary": true
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wink's Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leigh Irvin, MS, CCC-SLP
• Isabella Manor Inc
• Isabella Manor, Inc
• Anthony Frank Isele, M.D.
• Holley M Ivey, NP
• J Ellis Cosby OD PC
• J&J Retirement Home
• Pamala Jackson-Rowe, MS, MED
• Cassandra Lavette Jackson
• Chantileer Jackson, APN

• Case Management Agency in Albany, GA
• Providers in Albany, GA by specialty
• Case Management Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2014; 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.