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IVY GATE LLC NPI 1811583370


NPI Information

NPI: 1811583370
Provider Name: IVY GATE LLC
Classification: Assisted Living Facility - 3104A0630X
Entity Type: Organization

Specialization: Assisted Living, Behavioral Disturbances

Address:
5017 KINGS DR
ADAMSVILLE, AL
ZIP 35005
Phone: (205) 266-1956
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IVY GATE LLC is an assisted living and behavioral disturbances assisted living facility in Adamsville, AL. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors. IVY GATE LLC NPI is 1811583370. The provider is registered as an organization entity type.

The provider's business location address is:

5017 KINGS DR
ADAMSVILLE, AL
ZIP 35005-814
Phone: (205) 266-1956

The provider's authorized official is Alexandria Nicole Hilliard .
The authorized official title is Owner and has the following contact phone number (205) 266-1956.

The enumeration date for this NPI number is 12/17/2020 and was last updated on 12/17/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13104A0630XAssisted Living FacilityAssisted Living, Behavioral DisturbancesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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