Innovative Homcare, LLC.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

INNOVATIVE HOMCARE, LLC.

Practice address

1209 Kellogg Dr Ste 140
Tavares, FL 32778-4944

Phone

(352) 272-1431

Fax

(352) 508-9798

NPI assigned

Jun 22, 2020

Last updated

Jan 17, 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) 272-1431

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Innovative HomeCare, LLC. Other name

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

{
    "created_epoch": "1592784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673913600000",
    "number": "1093331498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 KELLOGG DR STE 140",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327784944",
            "telephone_number": "352-272-1431",
            "fax_number": "813-575-8866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 KELLOGG DR STE 140",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327784944",
            "telephone_number": "352-272-1431",
            "fax_number": "352-508-9798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE HOMCARE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-22",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "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": "352-272-1431"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "464754653",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Innovative HomeCare, LLC.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Vestali A Hudak
• Randolph Gray Hunter, MD
• Michael Clifford Hurwitz
• Kristen Idowu
• Infectious Disease of Lake County,LLC
• Innovative Homecare, LLC.
• Interactive ABA Services (Rassets LLC)
• Erica Denise Irvin
• Alaa G. Iskandar, M.D.
• J Derek Thompson MD PA

• Home Health Agency in Tavares, FL
• Providers in Tavares, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.