MEDICARE: IVYWOOD CARE SERVICES CORPORATION

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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1861345134
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IVYWOOD CARE SERVICES CORPORATION

Provider Business Mailing Address
First Line	:	913A W 7TH ST
Second Line	:
City	:	OXNARD
State	:	CA
Zip	:	93030-6755
Country	:	US
Telephone Number	:	805-216-1701
Fax Number	:	805-832-6409

Provider Business Practice Location Address
First Line	:	913A W 7TH ST
Second Line	:
City	:	OXNARD
State	:	CA
Zip	:	93030-6755
Country	:	US
Telephone Number	:	805-216-1701
Fax Number	:	805-832-6409

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MRS. CHRISTINE COLASITO
Credential	:
Telephone Number	:	805-216-1701

Provider Enumeration Date	:	02/17/2026
Last Update Date	:	02/17/2026

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