Ivory Home Health Care, INC
Home Health in Long Beach, CA. Organization (NPI-2).
NPI number1205497765
StatusActive
Last updated in NPPESFeb 23, 2024
Details
- NPI
- 1205497765
- Entity type
- Organization (NPI-2)
- Legal business name
- Ivory Home Health Care, INC
- Organization subpart
- No
- Enumeration date
- Jun 25, 2019
- Certification date
- Feb 23, 2024
- Last updated
- Feb 23, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | – | – | Yes |
| 251B00000X | Case Management | – | – | |
| 251F00000X | Home Infusion | – | – | |
| 251J00000X | Nursing Care | – | – | |
| 251K00000X | Public Health or Welfare | – | – | |
| 251S00000X | Community/Behavioral Health | – | – | |
| 251T00000X | PACE Provider Organization | – | – | |
| 251V00000X | Voluntary or Charitable | – | – | |
| 252Y00000X | Early Intervention Provider Agency | – | – | |
| 261Q00000X | Clinic/Center | – | – | |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – |
Other names
- Ivory Medical Home (Doing Business As)
Practice location
3605 Long Beach Blvd Ste 331Long Beach, CA 90807-4025
Phone 562-349-0860 · Fax 562-285-7216
Mailing address
3605 Long Beach Blvd Ste 331Long Beach, CA 90807-4025
Phone 562-349-0860 · Fax 562-285-7216
Authorized official
Adwoa Serwa Osei Nyarko
Ceo
5623490860
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