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IVY HILL ASSISTED CARE LLC NPI 1891317723


NPI Information

NPI: 1891317723
Provider Name: IVY HILL ASSISTED CARE LLC
Classification: Custodial Care Facility - 311Z00000X
Entity Type: Organization

CLIA Number: 22D2278719

Address:
337 MAIN ST
HAVERHILL, MA
ZIP 01830
Phone: (978) 374-8861
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IVY HILL ASSISTED CARE LLC is a custodial care facility in Haverhill, MA. The provider is a facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel. IVY HILL ASSISTED CARE LLC NPI is 1891317723. The provider is registered as an organization entity type.

The provider's business location address is:

337 MAIN ST
HAVERHILL, MA
ZIP 01830-054
Phone: (978) 374-8861

The provider's authorized official is Irshad Sideeka .
The authorized official title is Manager/member and has the following contact phone number (617) 751-0444.

The CLIA number assigned to this NPI record is 22D2278719 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/14/2020 and was last updated on 5/14/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1311Z00000XCustodial Care FacilityYes

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: 4/28/2024

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