Provider Demographics
NPI:1477370401
Name:IVAKAY HEALTHCARE SERVICES
Entity type:Organization
Organization Name:IVAKAY HEALTHCARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:RAWLINGS
Authorized Official - Middle Name:
Authorized Official - Last Name:EBOT ENOW
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:614-853-3836
Mailing Address - Street 1:PO BOX 1640
Mailing Address - Street 2:
Mailing Address - City:REYNOLDSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43068-6640
Mailing Address - Country:US
Mailing Address - Phone:614-698-9893
Mailing Address - Fax:
Practice Address - Street 1:8308 DRAYMORE
Practice Address - Street 2:
Practice Address - City:BLACKLICK
Practice Address - State:OH
Practice Address - Zip Code:43004-8032
Practice Address - Country:US
Practice Address - Phone:614-698-9893
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-23
Last Update Date:2024-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No347C00000XTransportation ServicesPrivate Vehicle