Innovative Homecare, LLC.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

INNOVATIVE HOMECARE, LLC.

Doing business as

Innovative HomeCare, LLC.

Practice address

1209 Kellogg Dr
Tavares, FL 32778-4944

Phone

(352) 434-1700

Fax

(352) 508-9798

NPI assigned

Nov 17, 2015

Last updated

Oct 31, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lula M Nolden-Hill

Title

Owner

Phone

(352) 434-1700

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Innovative HomeCare, LLC. Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lula M Frazier

  • Home Health Agency
  • Tavares, FL
  • NPI 1831504471
  NPD

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

{
    "created_epoch": "1447718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698710400000",
    "number": "1083088819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 KELLOGG DR",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327784944",
            "telephone_number": "352-434-1700",
            "fax_number": "352-508-9798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 KELLOGG DR",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327784944",
            "telephone_number": "352-434-1700",
            "fax_number": "352-508-9798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE HOMECARE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-17",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A",
        "authorized_official_last_name": "NOLDEN-HILL",
        "authorized_official_first_name": "LULA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-434-1700"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "233478",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "352549834",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Innovative HomeCare, LLC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Randolph Gray Hunter, MD
• Michael Clifford Hurwitz
• Kristen Idowu
• Infectious Disease of Lake County,LLC
• Innovative Homcare, LLC.
• Interactive ABA Services (Rassets LLC)
• Erica Denise Irvin
• Alaa G. Iskandar, M.D.
• J Derek Thompson MD PA
• Jack N Sperry Jr O.D. PA

• In Home Supportive Care Agency in Tavares, FL
• Providers in Tavares, FL by specialty
• In Home Supportive Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; 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.