# IVORY HOME HEALTH CARE, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** IVORY MEDICAL HOME
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205497765
- **Authorized official:** ADWOA SERWA OSEI NYARKO (CEO)
- **Authorized official phone:** (562) 349-0860

## Contact information

- **Practice address:** 3605 LONG BEACH BLVD STE 331, LONG BEACH, CA 90807-4025
- **Practice address phone:** (562) 349-0860
- **Practice address fax:** (562) 285-7216
- **Mailing address:** 3605 LONG BEACH BLVD STE 331, LONG BEACH, CA 90807-4025
- **Mailing address phone:** (562) 349-0860
- **Mailing address fax:** (562) 285-7216

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | — |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 251F00000X | Home Infusion Agency | — | NULL | — |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 251K00000X | Public Health or Welfare Agency | — | NULL | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 251T00000X | PACE Provider Organization | — | NULL | — |
| 251V00000X | Voluntary or Charitable Agency | — | NULL | — |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | — |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 06/25/2019
- **Last updated:** 02/23/2024