Ivyhealth Network LLC Dba Ivy Health Network
Case Management in Royal Oak, MI. Organization (NPI-2).
NPI number1568074862
StatusActive
Last updated in NPPESAug 18, 2020
Details
- NPI
- 1568074862
- Entity type
- Organization (NPI-2)
- Legal business name
- Ivyhealth Network LLC Dba Ivy Health Network
- Organization subpart
- No
- Enumeration date
- Aug 18, 2020
- Certification date
- Aug 18, 2020
- Last updated
- Aug 18, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251B00000X | Case Management | – | – | Yes |
| 171M00000X | Case Manager/Care Coordinator | – | – | |
| 251E00000X | Home Health | – | – | |
| 251S00000X | Community/Behavioral Health | – | – | |
| 252Y00000X | Early Intervention Provider Agency | – | – | |
| 261QD1600X | Clinic/Center, Developmental Disabilities | – | – | |
| 385HR2055X | Respite Care, Respite Care, Mental Illness, Child | – | – | |
| 385HR2060X | Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | – | – | |
| 385HR2065X | Respite Care, Respite Care, Physical Disabilities, Child | – | – |
Practice location
32799 Woodward Ave Ste 1Royal Oak, MI 48073-0954
Phone 248-789-8504
Mailing address
32799 Woodward Ave Ste 1Royal Oak, MI 48073-0954
Phone 248-789-8504
Authorized official
Janeau Deese
Owner
2487898504
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