Organization Active NPI

Innovative Home Care Inc

  • Home Health Agency
  • Cathedral City, CA
National Provider Identifier
1003094350
Registry record updated Dec 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
INNOVATIVE HOME CARE INC
Practice address
35325 Date Palm Dr
Ste 150
Cathedral City, CA 92234-7014
Phone
(760) 321-2945
Fax
(760) 770-3506
NPI assigned
Feb 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Lisa Marie Blaskie, RN, CCM
Title
President
Phone
(760) 321-2945

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

35325 Date Palm Dr
Ste 150
Cathedral City, CA 92234-7014

Mailing address

35325 Date Palm Dr
Ste 253
Cathedral City, CA 92234-7014
Phone (760) 321-2945

Other identifiers 1

IdentifierTypeStateIssuer
007804OtherCAANTHEM BLUE CROSS

Other names 1

  • ComForcare Senior Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Comforcare Home Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

35325 Date Palm Dr
Ste 150
Cathedral City, CA 92234
Phone (442) 307-3395

35325 Date Palm Dr
Ste 253
Cathedral City, CA 92234

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1202342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260230400000",
    "number": "1003094350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35325 DATE PALM DR",
            "address_2": "STE 253",
            "city": "CATHEDRAL CITY",
            "state": "CA",
            "postal_code": "922347014",
            "telephone_number": "760-321-2945",
            "fax_number": "760-770-3506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35325 DATE PALM DR",
            "address_2": "STE 150",
            "city": "CATHEDRAL CITY",
            "state": "CA",
            "postal_code": "922347014",
            "telephone_number": "760-321-2945",
            "fax_number": "760-770-3506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE HOME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-07",
        "last_updated": "2009-12-08",
        "status": "A",
        "authorized_official_last_name": "BLASKIE",
        "authorized_official_first_name": "LISA MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-321-2945",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN, CCM"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "007804",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ComForcare Senior Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cathedral City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.