Provider Demographics
NPI:1316177074
Name:IKHAYA WORLD, INC
Entity type:Organization
Organization Name:IKHAYA WORLD, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:R
Authorized Official - Last Name:PREZTUNIK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-483-8490
Mailing Address - Street 1:70 KINDERKAMACK ROAD
Mailing Address - Street 2:SUITE 204
Mailing Address - City:EMERSON
Mailing Address - State:NJ
Mailing Address - Zip Code:07630
Mailing Address - Country:US
Mailing Address - Phone:201-483-8490
Mailing Address - Fax:201-735-2111
Practice Address - Street 1:70 KINDERKAMACK ROAD
Practice Address - Street 2:SUITE 204
Practice Address - City:EMERSON
Practice Address - State:NJ
Practice Address - Zip Code:07630
Practice Address - Country:US
Practice Address - Phone:201-483-8490
Practice Address - Fax:201-735-2111
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-15
Last Update Date:2012-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HPO131500-HCSF;CTO37163W00000X
NJHPO131500-HCSF;CTO37164W00000X
251E00000X, 251F00000X, 251G00000X, 251J00000X, 253Z00000X
NJHPO131500&CTO373900374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Multi-Specialty
No163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty
No251E00000XAgenciesHome Health
No251F00000XAgenciesHome Infusion
No251G00000XAgenciesHospice Care, Community Based
No251J00000XAgenciesNursing CareGroup - Multi-Specialty
No253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty