Innovative Health Clinic

LBN: Teach And Care Llc
Innovative Health Clinic is an health care organization with primary practice located at 12851 W Bell Rd Ste 118 , Surprise AZ 85378-9609. The organization recently has 2 registered licenses in different health care specialties including Agencies / Home Health, Ambulatory Health Care Facilities / Clinic/Center. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty. Teach And Care Llc can be contacted via phone (623) 399-9645, or through Abucha, Jane via phone (623) 399-9645.

Contact Information

Primary practice address
12851 W Bell Rd Ste 118 Surprise AZ 85378-9609
Fax: (866) 355-0977
Website:
Authorized official contact:
Name: Abucha, Jane DNP, ACNP-BC

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1184165565
LBN Legal business name Teach And Care Llc
DBA Doing business as Innovative Health Clinic
Authorized official Abucha, Jane DNP, ACNP-BC
Entity Organization
Organization subpart 1 No
Enumeration date Mar 17th, 2017
Last updated Sep 22nd, 2020 - about 4 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 1184165565 NPPES
Arizona MEDICAID 796987

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