IVY HALL INC NPI 1851362511

NPI Information

  • NPI: 1851362511
  • Provider Name: IVY HALL, INC
  • Classification: Skilled Nursing Facility - 314000000X
  • Entity Type: Organization
  • Doing Business As: IVY HALL NURSING HOME
  • CLIA Number: 44D1002662
  • Address: 301 S WATAUGA AVE
    ELIZABETHTON, TN
    ZIP 37643
  • Phone: (423) 542-6512

Map and Directions

Get Directions

NPI Details

IVY HALL, INC is a skilled nursing facility in Elizabethton, TN. The provider is (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. IVY HALL, INC NPI is 1851362511. The provider is registered as an organization entity type.
The provider Is Doing Business As Ivy Hall Nursing Home.

The provider's business location address is:

301 S WATAUGA AVE
ELIZABETHTON, TN
ZIP 37643-546
Phone: (423) 542-6512
Fax: (423) 542-9311

The provider's authorized official is Judy Carver Deloach .
The authorized official title is President and has the following contact phone number (423) 542-6512.

The CLIA number assigned to this NPI record is 44D1002662 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/31/2006 and was last updated on 9/5/2014.

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
1313M00000XNursing Facility/Intermediate Care Facility0000000025TENNESSEENo
2314000000XSkilled Nursing Facility0000000025TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10445469MEDICAIDTENNESSEE
27440103MEDICAIDTENNESSEE
3445469MEDICARE OSCAR/CERTIFICATION
41307340001MEDICARE NSC

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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI