Healthcare Provider Details

I. General information

NPI: 1033837968
Provider Name (Legal Business Name): IVY HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2022
Last Update Date: 08/17/2022
Certification Date: 08/17/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7506 S 45TH AVE
LAVEEN AZ
85339-4296
US

IV. Provider business mailing address

7506 S 45TH AVE
LAVEEN AZ
85339-4296
US

V. Phone/Fax

Practice location:
  • Phone: 480-300-1277
  • Fax:
Mailing address:
  • Phone: 480-300-1277
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: DORINE NIKUZE
Title or Position: ADMINISTRATION
Credential:
Phone: 480-300-1277