MEDICARE: IVNA HEALTH SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	EXEMPT	VA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
6	880000085	OTHER	VA	MEDICARE PART B

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	600001438	OTHER	VA	RAILROAD
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1245235639
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IVNA HEALTH SERVICES

Provider Business Mailing Address
First Line	:	PO BOX 631031
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45263-1031
Country	:	US
Telephone Number	:	513-952-5002
Fax Number	:

Provider Business Practice Location Address
First Line	:	2603 NINE MILE RD
Second Line	:	STE 120
City	:	RICHMOND
State	:	VA
Zip	:	23223-5351
Country	:	US
Telephone Number	:	804-355-7100
Fax Number	:	804-355-1415

Authorized Official
Title or Position	:	SYSTEM DIRECTOR
Name	:	KIMBERLY RALSTON
Credential	:
Telephone Number	:	419-996-5119

Provider Enumeration Date	:	06/14/2005
Last Update Date	:	08/16/2023

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Directions to “IVNA HEALTH SERVICES ” Practice Location

Language	Start Address	Practice Location

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