Innovative Concepts

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

INNOVATIVE CONCEPTS

Practice address

15752 Oakhill Court
Livonia, MI 48154

Phone

(734) 542-4287

Fax

(734) 542-4289

NPI assigned

May 3, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Boone S. KowalisNPI 1023297884

Title

President

Phone

(734) 542-4287

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• MIDWEST LIFTS Doing business as

Practitioners 1

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

• Boone S. Kowalis Sr.

  • Home Modifications Contractor
  • Livonia, MI
  • NPI 1023297884
  NPD (past) Authorized official

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215149489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15752 OAKHILL COURT",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "48154",
            "telephone_number": "734-542-4287",
            "fax_number": "734-542-4289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15752 OAKHILL COURT",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "48154",
            "telephone_number": "734-542-4287",
            "fax_number": "734-542-4289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE CONCEPTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOWALIS",
        "authorized_official_first_name": "BOONE",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-542-4287",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0323939",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4431900",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MIDWEST LIFTS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Infinity Primary Care PLLC
• Infinity Primary Care PLLC
• Infinity Primary Care, PLLC
• Lanard Ingram
• Innovation Physical Therapy, LLC
• Inpatient Consultants of Kentucky, PSC
• Inpatient Consultants of Michigan PC
• Inpatient Consultants of Michigan PC
• Inpatient Consultants of Michigan, P.C.
• Inpatient Consultants of Ohio, Inc

• Durable Medical Equipment & Medical Supplies in Livonia, MI
• Providers in Livonia, MI by specialty
• Durable Medical Equipment & Medical Supplies in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.