Upstate Homecare
LBN: Innovative Service Inc
Upstate Homecare is an health care organization with primary practice located at 7506 State Route 5 , Clinton NY 13323-3654. The organization recently has 5 registered licenses in different health care specialties including Agencies / Home Infusion, Agencies / Nursing Care, Suppliers / Parenteral & Enteral Nutrition, Suppliers / Oxygen Equipment & Supplies, Suppliers / Prosthetic/Orthotic Supplier. Suppliers / Oxygen Equipment & Supplies is the primary health care specialty.
Innovative Service Inc can be contacted via phone (315) 853-1280, or through Crossman, Alyce M via phone (315) 853-1280.
Contact Information
Primary practice address
7506 State Route 5
Clinton NY 13323-3654
Phone: (315) 853-1280
Fax: (315) 853-6087
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Home Infusion | 251F00000X | ||
| Agencies / Nursing Care | 251J00000X | ||
| Suppliers / Parenteral & Enteral Nutrition | 332BP3500X | ||
| Suppliers / Oxygen Equipment & Supplies | 332BX2000X | ||
| Suppliers / Prosthetic/Orthotic Supplier | 335E00000X |
Profile Details
| NPI number | 1720033715 |
|---|---|
| LBN Legal business name | Innovative Service Inc |
| DBA Doing business as | Upstate Homecare |
| Authorized official | Crossman, Alyce M |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 24th, 2006 |
| Last updated | Mar 29th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720033715 | NPPES |
| Other | 83Y | MEDICAID ETIN | |
| MEDICAID | 02883443 | MEDICAID ETIN | |
| Other | 0701L001 | MEDICAID ETIN |
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