Innovative Care Network LLC

Primary specialty

HomemakerTaxonomy code 376J00000X

Legal business name

INNOVATIVE CARE NETWORK LLC

Practice address

3750 Winners Cir Apt 310
Palm Harbor, FL 34684-4372

Phone

(215) 279-1509

NPI assigned

Apr 22, 2021

Organization subpart

Yes

Parent organization

INNOVATIVE CARE NETWORK LLCAs reported in NPPES

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

Authorized official

Name

Kianna L Foster

Title

Owner/Ceo

Phone

(215) 279-1509

Specialties & licenses 2

Addresses

Part of

Innovative Care Network LLC

Locations

Practitioners 1

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

• Kianna Lasha' Chapman

  • Behavior Technician
  • Wake Forest, NC
  • NPI 1831495118

  Homemaker

  NPD

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

{
    "created_epoch": "1619049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619049600000",
    "number": "1306428065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30190 US HIGHWAY 19 N STE 1013",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337611044",
            "telephone_number": "121-527-9150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 WINNERS CIR APT 310",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346844372",
            "telephone_number": "215-279-1509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE CARE NETWORK LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INNOVATIVE CARE NETWORK LLC",
        "enumeration_date": "2021-04-22",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "KIANNA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "215-279-1509"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marina Ibrahim, PHARMD.
• Impact Health and Performance, LLC
• Judith Brantley Inghram, BCBA
• Stacey Ingram
• Inner Peace Counseling & Wellness
• Innovative Wellness, Inc.
• Insight Spine LLC
• Integrated Regional Laboratories Pathology Services, LLC
• Intensive Behavior Supports
• Dominic Joseph Intravaia, DPT

• Homemaker in Palm Harbor, FL
• Providers in Palm Harbor, FL by specialty
• Homemaker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; 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.