Innovative Home Health Care Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HHA3379 Issued in AZ

Legal business name

INNOVATIVE HOME HEALTH CARE INC

Doing business as

Innovative Home Health Care

Practice address

2601 E Thomas Rd
Phoenix, AZ 85016-8221

Phone

(602) 305-9500

Fax

(602) 305-9501

NPI assigned

Jun 24, 2008

Organization subpart

No

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

Authorized official

Name

Dale Norman Skurdahl

Title

Chief Operating Officer-M.S.

Phone

(602) 243-4231

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Innovative Home Health Care Doing business as

Locations

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1316108145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1402 E SOUTH MOUNTAIN AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850427925",
            "telephone_number": "602-243-4231",
            "fax_number": "602-323-5988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 E THOMAS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850168221",
            "telephone_number": "602-305-9500",
            "fax_number": "602-305-9501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE HOME HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-24",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "SKURDAHL",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "NORMAN",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER-M.S.",
        "authorized_official_telephone_number": "602-243-4231"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AZ",
            "license": "HHA3379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ DEPARTMENT OF HEALTH SERVICES",
            "identifier": "HHA3379",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "818552",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Innovative Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Innovative Minds Behavioral Health Services
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• Innovative Pain and Wellness PLC
• Innovative Pain and Wellness PLC

• Home Health Agency in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Home Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.