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IVY HARRIS
NPI 1073926812
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Grovetown, GA

Active since June 10, 2014
4613 MARTHAS WAY, GROVETOWN, GA 30813(732) 962-5450 Get Directions Write a Review

NPPES record last updated: June 10, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ivy Harris NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IVY HARRIS (NPI 1073926812) is an individual residential treatment facility, intellectual and/or developmental disabilities provider in Grovetown, Georgia and active in the NPI registry since June 2014.

NPPES Registry Identity

NPI1073926812
Entity TypeIndividualFemale
Primary Taxonomy320600000X
Provider Legal NameIVY HARRIS
Location Address4613 MARTHAS WAYGrovetown, GA 30813-2205
Mailing Address4613 Martha's WayGrovetown, GA 30813 · (732) 962-5450
Phone(732) 962-5450
Sole ProprietorYes
Enumeration DateJune 10, 2014
✔ NPI 1073926812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
Definition

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

4613 MARTHAS WAY, Grovetown, GA 30813
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Other Identifiers 1

Medicaid000606317BGA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ivy Harris's NPI number?

The NPI number for Ivy Harris is 1073926812. It was assigned to this individual provider in the NPPES registry on June 10, 2014.

Where is Ivy Harris located?

Ivy Harris practices at 4613 Marthas Way, Grovetown, GA 30813. The listed phone number is (732) 962-5450.

What is Ivy Harris's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Ivy Harris was last updated on June 10, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.