Innovative Care Partners

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

INNOVATIVE CARE PARTNERS

Practice address

9513 Business Center Dr, BLDG 8, Ste C
Rancho Cucamonga, CA 91730-4500

Phone

(909) 244-0444

Fax

(909) 244-0170

NPI assigned

Dec 20, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Jerome B Mendoza

Title

Ceo

Phone

(909) 244-0444

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 753120

Legal name

INNOVATIVE CARE PARTNERS

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Mar 7, 2022

Last certification

Mar 7, 2022

Organization structure

CorporationProprietary

Enrollment address

1307 Westwood Blvd
Ste 203B
Los Angeles, CA 90024-4984
HHA Branch

Listed as

Innovative Care PartnersCCN 753120

Ownership

-

Certified

Mar 7, 2022

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 2

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

Practitioners 1

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

• Blagovest G Shopski, NP

  • Nurse Practitioner
  • Glendale, CA
  • NPI 1891333043

  Home Health

  NPD

Affiliated clinicians 1

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

• Peter H Lin, M.D.

  • Vascular Surgery Physician
  • Arcadia, CA
  • NPI 1982784625

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1576800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777248000000",
    "number": "1255979233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9513 BUSINESS CENTER DR, BLDG 8, STE C",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304500",
            "telephone_number": "909-244-0444",
            "fax_number": "909-244-0170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9513 BUSINESS CENTER DR, BLDG 8, STE C",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304500",
            "telephone_number": "909-244-0444",
            "fax_number": "909-244-0170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE CARE PARTNERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-20",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A",
        "authorized_official_last_name": "MENDOZA",
        "authorized_official_first_name": "JEROME",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-244-0444",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Inland Respiratory Diagnostics
• Inn Home Care LLC
• Innovative Foot and Ankle Care, PC
• Innovative Minimally Invasive Imaging & Therapeutics, Inc
• Innovative Sleep Solutions Inc
• Innovative Surgical Center, Inc
• Inside Out Psychiatry, a Professional Nursing Corporation

• Home Health Agency in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2026; 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.