NPIMap

Organization Active NPI

Innovative Start LLC

  • Health Maintenance Organization
  • Gretna, LA
National Provider Identifier
1174076061
Registry record updated Jul 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
INNOVATIVE START LLC
Practice address
1101 Franklin Ave
Gretna, LA 70053-2312
Phone
(504) 729-0408
Fax
(504) 361-5973
NPI assigned
Jul 27, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2016

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

Authorized official

Name
Mrs. Doris GreenNPI 1053885533
Title
Owner
Phone
(504) 729-0408

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X Primary

Addresses

Primary practice location

1101 Franklin Ave
Gretna, LA 70053-2312

Mailing address

1101 Franklin Ave
Gretna, LA 70053-2312
Phone (504) 729-0408

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1469577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469577600000",
    "number": "1174076061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 FRANKLIN AVE",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700532312",
            "telephone_number": "504-729-0408",
            "fax_number": "504-361-5973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 FRANKLIN AVE",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700532312",
            "telephone_number": "504-729-0408",
            "fax_number": "504-361-5973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE START LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-27",
        "last_updated": "2016-07-27",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "DORIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-729-0408",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gretna, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.