Provider Demographics
NPI:1245235639
Name:IVNA HEALTH SERVICES
Entity Type:Organization
Organization Name:IVNA HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SYSTEM DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:RALSTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-996-5119
Mailing Address - Street 1:PO BOX 631031
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-1031
Mailing Address - Country:US
Mailing Address - Phone:513-952-5002
Mailing Address - Fax:
Practice Address - Street 1:2603 NINE MILE RD
Practice Address - Street 2:STE 120
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23223-5351
Practice Address - Country:US
Practice Address - Phone:804-355-7100
Practice Address - Fax:804-355-1415
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:INSTRUCTIVE VISITING NURSE ASOCIATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-06-14
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAEXEMPT251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0087703879Medicaid
VA4944160Medicaid
VA600001438OtherRAILROAD
VA9112243Medicaid
VA0087016363Medicaid
VA880000085OtherMEDICARE PART B