Provider Demographics
NPI:1639755697
Name:IY NURSING AGENCY
Entity Type:Organization
Organization Name:IY NURSING AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATE
Authorized Official - Middle Name:
Authorized Official - Last Name:OSAYANDE
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:084-405-1269
Mailing Address - Street 1:46 SAGER PL
Mailing Address - Street 2:
Mailing Address - City:HILLSIDE
Mailing Address - State:NJ
Mailing Address - Zip Code:07205-1024
Mailing Address - Country:US
Mailing Address - Phone:908-358-6250
Mailing Address - Fax:
Practice Address - Street 1:46 SAGER PL
Practice Address - Street 2:
Practice Address - City:HILLSIDE
Practice Address - State:NJ
Practice Address - Zip Code:07205-1024
Practice Address - Country:US
Practice Address - Phone:908-358-6250
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-21
Last Update Date:2021-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health