Innovative Support Services

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

7400253 Issued in OH

Legal business name

INNOVATIVE SUPPORT SERVICES

Practice address

8357 Township Road 69
Kansas, OH 44841-9715

Phone

(419) 986-5560

Fax

(419) 986-5065

NPI assigned

Apr 3, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kenneth A Yoakum Jr.

Title

President

Phone

(419) 986-5560

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265553358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8357 TOWNSHIP ROAD 69",
            "city": "KANSAS",
            "state": "OH",
            "postal_code": "448419715",
            "telephone_number": "419-986-5560",
            "fax_number": "419-986-5065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8357 TOWNSHIP ROAD 69",
            "city": "KANSAS",
            "state": "OH",
            "postal_code": "448419715",
            "telephone_number": "419-986-5560",
            "fax_number": "419-986-5065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE SUPPORT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YOAKUM",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-986-5560",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": "7400253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0185491",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ODMRDD PROVIDER #",
            "identifier": "7400253",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Courtney Swisher, ED.S.

• Home Health Agency in Kansas, OH
• Providers in Kansas, OH by specialty
• Home Health Agency in Ohio

• 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.