INNOVATIVE HOME HEALTH AGENCY NPI 1356114870

NPI Information

  • NPI: 1356114870
  • Provider Name: INNOVATIVE HOME HEALTH AGENCY
  • Classification: Registered Nurse - 163WH0200X
  • Specialization: Home Health
  • Entity Type: Organization
  • Address: 101 N TRYON ST
    CHARLOTTE, NC
    ZIP 28246
  • Phone: (980) 287-6420

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NPI Details

INNOVATIVE HOME HEALTH AGENCY is a home health registered nurse in Charlotte, NC. INNOVATIVE HOME HEALTH AGENCY NPI is 1356114870. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

101 N TRYON ST
CHARLOTTE, NC
ZIP 28246-100
Phone: (980) 287-6420

The provider's authorized official is Kimberly Gordon .
The authorized official title is Owner and has the following contact phone number (980) 287-6420.

The enumeration date for this NPI number is 11/6/2023 and was last updated on 11/6/2023.

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
1163WH0200XRegistered NurseHome HealthYes

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: 3/30/2025

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