Active NPI
Innovhealth, LLC
- Case Manager/Care Coordinator
- Anaheim, CA
National Provider Identifier
1164281176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Legal business name
- INNOVHEALTH, LLC
- Practice address
- 9778 Katella Ave Ste 205
Anaheim, CA 92804-6447 - Phone
- (760) 284-1300
- NPI assigned
- Mar 14, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tamara Jennings
- Title
- Ceo
- Phone
- (760) 622-7871
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary | ||
| Community Health Worker | 172V00000X | |||
| Health Educator | 174H00000X | |||
| Case Management Agency | 251B00000X | |||
| Chore Provider | 372500000X | |||
| Adult Companion | 372600000X | |||
| Attendant Care Provider | 3747A0650X | |||
| Prevention Professional | 405300000X |
Addresses
Primary practice location
9778 Katella Ave Ste 205
Anaheim, CA 92804-6447
Mailing address
1137 W la Gloria Dr
Rialto, CA 92377-4449
Phone (760) 622-7871
Other names 1
- Community Access to Aging Resources & Educational Support - CAARES
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710374400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710374400000",
"number": "1164281176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1137 W LA GLORIA DR",
"city": "RIALTO",
"state": "CA",
"postal_code": "923774449",
"telephone_number": "760-622-7871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9778 KATELLA AVE STE 205",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928046447",
"telephone_number": "760-284-1300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INNOVHEALTH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-14",
"last_updated": "2024-03-14",
"certification_date": "2024-03-14",
"status": "A",
"authorized_official_last_name": "JENNINGS",
"authorized_official_first_name": "TAMARA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "760-622-7871"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
},
{
"code": "172V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "174H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "372500000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chore Provider",
"state": null,
"license": null,
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Adult Companion",
"state": null,
"license": null,
"primary": false
},
{
"code": "3747A0650X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician, Attendant Care Provider",
"state": null,
"license": null,
"primary": false
},
{
"code": "405300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Prevention Professional",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Community Access to Aging Resources & Educational Support - CAARES",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Anaheim, CA
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.