Innovive Health of Massachusetts LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

INNOVIVE HEALTH OF MASSACHUSETTS LLC

Practice address

10 Cabot Rd Ste 201
Medford, MA 02155-5173

Phone

(800) 915-3211

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Joseph McDonough

Title

Member Manager

Phone

(617) 623-3211

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Nizhoni Health Systems LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Home health agency certification: CCN 227485

Legal name

INNOVIVE HEALTH OF MASSACHUSETTS LLC

Doing business as

INNOVIVE HEALTH

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jun 9, 2005

Last certification

Jun 19, 2018

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Oct 29, 2004 in MA

Enrollment address

10 Cabot Rd
Ste 201
Medford, MA 02155-5173

Listed as

Innovive HealthCCN 227485

Overall star rating

3 of 5

Ownership

Proprietary

Certified

Jun 9, 2005

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

• Innovive Health of Colorado LLC

  • Home Health Agency
  • Colorado Springs, CO
  • NPI 1639886120

  Member Of

  NPD member
• Innovive Health of Iowa LLC

  • Home Health Agency
  • West Des Moines, IA
  • NPI 1780279851

  Member Of

  NPD member

Locations

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Innovive Health of Colorado LLC

  • Home Health Agency
  • Colorado Springs, CO
  • NPI 1639886120

  5% Or Greater Indirect Ownership Interest

  CMS ownership
• Innovive Health of Iowa LLC

  • Home Health Agency
  • West Des Moines, IA
  • NPI 1780279851

  5% Or Greater Indirect Ownership Interest

  CMS ownership

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicole Brodie

  • Mental Health Counselor
  • Auburn, MA
  • NPI 1598698664
  NPD (past)
• Laura Gates Foley, M.ED

  • Mental Health Counselor
  • Auburn, MA
  • NPI 1699605279
  NPD (past)
• Elizabeth Hilli

  • Counselor
  • Auburn, MA
  • NPI 1366362162
  NPD (past)
• Sarah Milton

  • Clinical Social Worker
  • Auburn, MA
  • NPI 1013842202
  NPD (past)
• April Lynn Kennedy Salter

  • Student in an Organized Health Care Education/Training Program
  • Auburn, MA
  • NPI 1710817234
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710374400000",
    "number": "1093826596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CABOT RD STE 201",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021555173",
            "telephone_number": "800-915-3211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CABOT RD STE 201",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021555173",
            "telephone_number": "800-915-3211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVIVE HEALTH OF MASSACHUSETTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A",
        "authorized_official_last_name": "MCDONOUGH",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "MEMBER MANAGER",
        "authorized_official_telephone_number": "617-623-3211"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0612529",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nizhoni Health Systems LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Christina M Iliades, RN
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• Dianne Ingwersen, H.I.S.
• Inner Lytes Counseling
• Inner Wisdom Psychotherapy PLLC
• Inspired Dental PC
• Lauren Catherine Intravia
• Adina Mariana Ion, M.D.
• Iora Health Massachusetts, P.C.
• Iora Health, Inc

• All providers in Medford, MA
• Home Health Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.