Organization Active NPI

Innovative Quality Care LLC

  • Developmental Disabilities Clinic/Center
  • Springdale, OH
National Provider Identifier
1235814476
Registry record updated Jun 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
INNOVATIVE QUALITY CARE LLC
Practice address
260 Northland Blvd Ste 101B
Springdale, OH 45246-4910
Phone
(513) 882-5299
Fax
(513) 647-0289
NPI assigned
Jun 15, 2023
Last updated
Jun 15, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2023

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

Authorized official

Name
Teri BradenNPI 1194472126
Title
Doo
Phone
(513) 882-5299

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
Developmental Disabilities Clinic/Center 261QD1600X Primary

Addresses

Primary practice location

260 Northland Blvd Ste 101B
Springdale, OH 45246-4910

Mailing address

260 Northland Blvd Ste 101B
Springdale, OH 45246-4910
Phone (513) 882-5299

National Provider Directory

National Provider Directory

Locations

260 Northland Blvd
Ste 101B
Springdale, OH 45246
Phone (513) 882-5299

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1686787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686787200000",
    "number": "1235814476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 NORTHLAND BLVD STE 101B",
            "city": "SPRINGDALE",
            "state": "OH",
            "postal_code": "452464910",
            "telephone_number": "513-882-5299",
            "fax_number": "513-647-0289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 NORTHLAND BLVD STE 101B",
            "city": "SPRINGDALE",
            "state": "OH",
            "postal_code": "452464910",
            "telephone_number": "513-882-5299",
            "fax_number": "513-647-0289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE QUALITY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-15",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A",
        "authorized_official_last_name": "BRADEN",
        "authorized_official_first_name": "TERI",
        "authorized_official_title_or_position": "DOO",
        "authorized_official_telephone_number": "513-882-5299"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springdale, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; 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.