Organization Active NPI

Innovative Health Care Services

  • Home Health Agency
  • Saint Charles, MO
National Provider Identifier
1033735899
Registry record updated Jun 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
INNOVATIVE HEALTH CARE SERVICES
Practice address
117 Clearview Dr
Saint Charles, MO 63303-3106
Phone
(314) 305-0738
NPI assigned
Jun 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2020

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

Authorized official

Name
Lakeisha Sanders
Title
Executive Director
Phone
(314) 305-0738

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

117 Clearview Dr
Saint Charles, MO 63303-3106

Mailing address

117 Clearview Dr
Saint Charles, MO 63303-3106
Phone (314) 305-0738

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210125001861 MO Part B Supplier - Mass Immunization (Roster Biller Only) 4880008309 Practice locations: Saint Louis, MO

National Provider Directory

National Provider Directory

Locations

117 Clearview Dr
Saint Charles, MO 63303
Phone (314) 305-0738

4144 Lindell Blvd
Ste 225
Saint Louis, MO 63108
Phone (314) 774-0001

NPI Registry JSON

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

{
    "created_epoch": "1592352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592352000000",
    "number": "1033735899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 CLEARVIEW DR",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633033106",
            "telephone_number": "314-305-0738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 CLEARVIEW DR",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633033106",
            "telephone_number": "314-305-0738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE HEALTH CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-17",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "LAKEISHA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "314-305-0738"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Charles, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.