Organization Active NPI

Innovative Healthcare Systems

  • Home Health Agency
  • Southfield, MI
National Provider Identifier
1093167975
Registry record updated Jul 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
INNOVATIVE HEALTHCARE SYSTEMS
Practice address
19111 W 10 Mile Rd
Suite 231
Southfield, MI 48075-2417
Phone
(248) 757-5050
NPI assigned
Jul 5, 2016
Last updated
Jul 5, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2016

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

Authorized official

Name
Kamri Hogans
Title
Office Manager
Phone
(248) 757-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

19111 W 10 Mile Rd
Suite 231
Southfield, MI 48075-2417

Mailing address

19111 W 10 Mile Rd
Suite 231
Southfield, MI 48075-2417
Phone (248) 757-5050

Other identifiers 1

IdentifierTypeStateIssuer
5183351MedicaidMI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1467676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467676800000",
    "number": "1093167975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19111 W 10 MILE RD",
            "address_2": "SUITE 231",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752417",
            "telephone_number": "248-757-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19111 W 10 MILE RD",
            "address_2": "SUITE 231",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752417",
            "telephone_number": "248-757-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE HEALTHCARE SYSTEMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-05",
        "last_updated": "2016-07-05",
        "status": "A",
        "authorized_official_last_name": "HOGANS",
        "authorized_official_first_name": "KAMRI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "248-757-1100"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5183351",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2016; 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.