Ivy Hill Assisted Care LLC

Primary specialty

Custodial Care FacilityTaxonomy code 311Z00000X

Legal business name

IVY HILL ASSISTED CARE LLC

Practice address

337 Main St
Haverhill, MA 01830-4054

Phone

(978) 374-8861

NPI assigned

May 14, 2020

Organization subpart

No

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

Authorized official

Name

Irshad Sideeka

Title

Manager/Member

Phone

(617) 751-0444

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1589414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589414400000",
    "number": "1891317723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "683 BOYLSTON ST",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024455742",
            "telephone_number": "617-751-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "337 MAIN ST",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018304054",
            "telephone_number": "978-374-8861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVY HILL ASSISTED CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-14",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A",
        "authorized_official_last_name": "SIDEEKA",
        "authorized_official_first_name": "IRSHAD",
        "authorized_official_title_or_position": "MANAGER/MEMBER",
        "authorized_official_telephone_number": "617-751-0444"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Ingham
• William Alexis Inirio Richards, RN
• German Iosif, M.D.
• Benjamin Isaacman
• Nicole Ivone
• Ivy Hill Court, Inc
• Maria Jackson, LICSW
• Dina Jamil, DMD
• Jana M. Sokol DMD, PC
• Susan Jennifer Janeczek, LMT

• Custodial Care Facility in Haverhill, MA
• Providers in Haverhill, MA by specialty
• Custodial Care Facility in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.