Active NPI
Ivy Baisie
- Attendant Care Provider
- Senoia, GA
National Provider Identifier
1982461604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Attendant Care Provider
- Practice address
- 6855 Highway 16 Ste 102
Senoia, GA 30276-8604 - Phone
- (678) 876-2724
- NPI assigned
- Feb 29, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | |||
| Attendant Care Provider | 3747A0650X | Primary | ||
| Adult Companion | 372600000X | |||
| Technician | 374700000X |
Addresses
Primary practice location
6855 Highway 16 Ste 102
Senoia, GA 30276-8604
Mailing address
55 Ellabelle CT
Senoia, GA 30276-6203
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deluxe Home Care Services, LLC | Personal Care Attendant | Current | Accepting new patients |
| Royal Haven Home Care Services | Adult Companion | Current | Accepting new patients |
Locations
6855 Highway 16
Ste 102
Senoia, GA 30276
Phone (678) 876-2724
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709164800000",
"number": "1982461604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 ELLABELLE CT",
"city": "SENOIA",
"state": "GA",
"postal_code": "302766203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6855 HIGHWAY 16 STE 102",
"city": "SENOIA",
"state": "GA",
"postal_code": "302768604",
"telephone_number": "678-876-2724"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAISIE",
"first_name": "IVY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-29",
"last_updated": "2024-02-29",
"certification_date": "2024-02-29",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": false
},
{
"code": "3747A0650X",
"taxonomy_group": "",
"desc": "Technician, Attendant Care Provider",
"state": null,
"license": null,
"primary": true
},
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": null,
"license": null,
"primary": false
},
{
"code": "374700000X",
"taxonomy_group": "",
"desc": "Technician",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Senoia, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 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.