Provider Demographics
NPI:1093942559
Name:IVORY HOME CARE LLC
Entity Type:Organization
Organization Name:IVORY HOME CARE LLC
Other - Org Name:CAREMINDERS HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MANANZA
Authorized Official - Middle Name:
Authorized Official - Last Name:DIABAGATE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-474-4200
Mailing Address - Street 1:8076 BEECHMONT AVE
Mailing Address - Street 2:BUILDING D, SUITE 55
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45255-6171
Mailing Address - Country:US
Mailing Address - Phone:513-474-4200
Mailing Address - Fax:513-474-4207
Practice Address - Street 1:8076 BEECHMONT AVE
Practice Address - Street 2:BUILDING D, SUITE 55
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45255-6171
Practice Address - Country:US
Practice Address - Phone:513-474-4200
Practice Address - Fax:513-474-4207
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-11
Last Update Date:2009-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
APPLIED FOR251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health