MEDICARE: IVY HOME 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

General Provider Information

NPI Number	:	1427866052
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IVY HOME HEALTH SERVICES

Provider Business Mailing Address
First Line	:	3003 SEAGLER RD APT 5409
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77042-3089
Country	:	US
Telephone Number	:	832-228-6161
Fax Number	:

Provider Business Practice Location Address
First Line	:	3003 SEAGLER RD APT 5409
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77042-3089
Country	:	US
Telephone Number	:	832-228-6161
Fax Number	:

Authorized Official
Title or Position	:	PATNER
Name	:	OLUWATIMILEHIN FINNIH
Credential	:
Telephone Number	:	617-676-6800

Provider Enumeration Date	:	12/30/2024
Last Update Date	:	12/30/2024

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Directions to “IVY HOME HEALTH SERVICES ” Practice Location

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