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INNOVATIVE HEALTHCARE LLC NPI 1184215584


NPI Information

NPI: 1184215584
Provider Name: INNOVATIVE HEALTHCARE, LLC
Classification: Nursing Care - 251J00000X
Entity Type: Organization

CLIA Number: 25D2276357

Address:
17 HILL CIR
CLEVELAND, MS
ZIP 38732
Phone: (662) 721-6234
Get Directions

INNOVATIVE HEALTHCARE, LLC is a nursing care in Cleveland, MS. The provider is a Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. INNOVATIVE HEALTHCARE, LLC NPI is 1184215584. The provider is registered as an organization entity type.

The provider's business location address is:

17 HILL CIR
CLEVELAND, MS
ZIP 38732-300
Phone: (662) 721-6234

The provider's authorized official is Meta H Anderson .
The authorized official title is Family Nurse Practitioner and has the following contact phone number (662) 721-6234.

The CLIA number assigned to this NPI record is 25D2276357 - independent with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/28/2021 and was last updated on 1/28/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251J00000XNursing CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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