# IVYHEALTH NETWORK LLC DBA IVY HEALTH NETWORK

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568074862
- **Authorized official:** JANEAU DEESE (OWNER)
- **Authorized official phone:** (248) 789-8504

## Contact information

- **Practice address:** 32799 WOODWARD AVE STE 1, ROYAL OAK, MI 48073-0954
- **Practice address phone:** (248) 789-8504
- **Mailing address:** 32799 WOODWARD AVE STE 1, ROYAL OAK, MI 48073-0954
- **Mailing address phone:** (248) 789-8504

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | — |
| 171M00000X | Case Manager/Care Coordinator | — | — | — |
| 251B00000X | Case Management Agency | — | NULL | Yes |
| 251E00000X | Home Health Agency | — | NULL | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | — |
| 261QD1600X | Developmental Disabilities Clinic/Center | — | NULL | — |
| 385HR2055X | Child Mental Illness Respite Care | — | NULL | — |
| 385HR2060X | Child Intellectual and/or Developmental Disabilities Respite Care | — | NULL | — |
| 385HR2065X | Child Physical Disabilities Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 08/18/2020
- **Last updated:** 08/18/2020