Innovative Care Llc

LBN: Innovative Care Llc
Innovative Care Llc is an health care organization with primary practice located at Innovative Care Llc 5712 Oak Knoll Rd., Midlothian VA 23112-2400. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Innovative Care Llc can be contacted via phone (804) 608-6577, or through Richardson, Autumn Benson via phone (804) 608-9704.

Contact Information

Primary practice address
Innovative Care Llc 5712 Oak Knoll Rd. Midlothian VA 23112-2400
Phone: (804) 608-6577
Fax: (855) 700-5593
Website:
Map and Directions
Authorized official contact:
Name: Richardson, Autumn Benson Licensed Clinical Social Worker (LCSW)
Phone: (804) 608-9704

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1689202012
LBN Legal business name Innovative Care Llc
DBA Doing business as
Authorized official Richardson, Autumn Benson Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 31st, 2020
Last updated Jan 7th, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689202012 NPPES
Virginia MEDICAID 601450523

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