Innova, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

INNOVA, LLC

Doing business as

INNOVA Home Health

Practice address

4100 Perimeter Ctr Dr
Suite 210
Oklahoma City, OK 73112-2326

Phone

(405) 418-2974

Fax

(866) 453-4968

NPI assigned

Jul 17, 2007

Last updated

Aug 2, 2011By 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

Mr. Bill Sanders

Title

Manager

Phone

(405) 418-2974

Specialties & licenses 1

Addresses

Other names 1

• INNOVA Home Health Doing business as

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1093914251. Details of each certification follow.

• CCN 377721 Home health agency · Active · Details

Home health agency certification: CCN 377721

Legal name

INNOVA, LLC

Doing business as

INNOVA HOME HEALTH

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jun 2, 2008

Last certification

Nov 1, 2019

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Jan 8, 2007 in OK

Enrollment address

4100 Perimeter Center Drive
Suite 210
Oklahoma City, OK 73112-2326

Listed as

Innova Home HealthCCN 377721 · All quality measures

Overall star rating

3 of 5

Ownership

Proprietary

Certified

Jun 2, 2008

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Home health aide, Physical therapy, Speech pathology, 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

Locations

All disclosed owners & managing parties 4

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

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Megan Meyer Hanner, DO

  • Family Medicine Physician
  • Newcastle, OK
  • NPI 1801090717

  Home health agency

  Care Compare affiliation
• Arika L Smith, CNP

  • Family Nurse Practitioner
  • Chandler, OK
  • NPI 1588365936

  Home health agency

  Care Compare affiliation
• Jennifer Taylor, APRN-FNP

  • Family Nurse Practitioner
  • Oklahoma City, OK
  • NPI 1245858018

  Home health agency

  Care Compare affiliation
• Ryan Ray Turner, MD

  • Family Medicine Physician
  • Blanchard, OK
  • NPI 1780613109

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312243200000",
    "number": "1093914251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 PERIMETER CTR DR",
            "address_2": "SUITE 210",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731122326",
            "telephone_number": "405-418-2974",
            "fax_number": "866-453-4968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 PERIMETER CTR DR",
            "address_2": "SUITE 210",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731122326",
            "telephone_number": "405-418-2974",
            "fax_number": "866-453-4968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-17",
        "last_updated": "2011-08-02",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "BILL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "405-418-2974",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INNOVA Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Home Health Agency in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2011; 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.