# IVYROSE HEALTHCARE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** FirstLight HomeCare
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316490238
- **Authorized official:** GEORGE EZIKPE (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (301) 717-0625

## Contact information

- **Practice address:** 11161 NEW HAMPSHIRE AVE, SUITE 402, SILVER SPRING, MD 20904-2606
- **Practice address phone:** (301) 798-5880
- **Practice address fax:** (301) 798-5887
- **Mailing address:** 1310 LEISTER DR, SILVER SPRING, MD 20904-1545
- **Mailing address phone:** (301) 798-5880
- **Mailing address fax:** (301) 798-5887

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | R3881 | MD | Yes |

## Other

- **Enumeration date:** 07/27/2016
- **Last updated:** 07/27/2016