Iyesha Ivey

Primary specialty

Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X

License

1831545 Issued in OH

Practice address

33140 Aurora Rd Ste 202
Solon, OH 44139-3650

Phone

(440) 373-9783

Fax

(440) 373-9783

NPI assigned

Jul 10, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1594339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594339200000",
    "number": "1952929465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33140 AURORA RD STE 202",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441393650",
            "telephone_number": "440-373-9783",
            "fax_number": "440-373-9783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33140 AURORA RD STE 202",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441393650",
            "telephone_number": "440-373-9783",
            "fax_number": "440-373-9783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVEY",
        "first_name": "IYESHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-10",
        "last_updated": "2020-07-10",
        "certification_date": "2020-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "OH",
            "license": "1831545",
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "OH",
            "license": "1831545",
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "OH",
            "license": "1831545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0390541",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "i.ivey@qualityindividualcare.com",
            "affiliation": "N",
            "endpointDescription": "Encrypted emaill address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "33140 Aurora Rd Ste 202",
            "city": "Solon",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441393650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Victoria Igboeli-Ilodi, RN
• Blessed Ilodi, RN
• In-House Healthcare, Inc.
• Insightcore Consulting LLC
• Daniel Ionescu, MD
• J. Jin El-Mallawany, MD
• J&M Respite Services
• Colton Jackson, NP
• Mike Jackson
• Hadas Jacobson, PA-C

• Child Intellectual and/or Developmental Disabilities Respite Care in Solon, OH
• Providers in Solon, OH by specialty
• Child Intellectual and/or Developmental Disabilities Respite Care in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2020; 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.