Innovative Homecare, Llc.

LBN: Innovative Homcare, Llc.
Innovative Homecare, Llc. is an health care organization with primary practice located at 1209 Kellogg Dr Ste 140 , Tavares FL 32778-4944. The organization recently has 2 registered licenses in different health care specialties including Agencies / Day Training, Developmentally Disabled Services, Agencies / Home Health. Agencies / Home Health is the primary health care specialty. Innovative Homcare, Llc. can be contacted via phone (352) 272-1431, or through Nolden-Hill, Lula M via phone (352) 272-1431.

Contact Information

Primary practice address
1209 Kellogg Dr Ste 140 Tavares FL 32778-4944
Phone: (352) 272-1431
Fax: (352) 508-9798
Website:
Map and Directions
Authorized official contact:
Name: Nolden-Hill, Lula M
Phone: (352) 272-1431

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X
Agencies / Home Health 251E00000X

Profile Details

NPI number 1093331498
LBN Legal business name Innovative Homcare, Llc.
DBA Doing business as Innovative Homecare, Llc.
Authorized official Nolden-Hill, Lula M
Entity Organization
Organization subpart 1 No
Enumeration date Jun 22nd, 2020
Last updated Jan 17th, 2023 - about last year

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 1093331498 NPPES
Florida MEDICAID 464754653

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