Innovative Services Inc

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

INNOVATIVE SERVICES INC

Doing business as

Upstate Homecare

Practice address

435 Lawrence Bell Dr Ste 1B
Buffalo, NY 14221-8442

Phone

(716) 565-2110

NPI assigned

Oct 23, 2006

Last updated

Sep 16, 2019By 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

Ms. Alyce M Crossman

Title

VP, Cio

Phone

(315) 853-1280

Specialties & licenses 4

Addresses

Other identifiers 3

Other names 1

• Upstate Homecare Doing business as

Locations

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568592000000",
    "number": "1326121369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 325",
            "city": "CLINTON",
            "state": "NY",
            "postal_code": "133230325",
            "telephone_number": "315-853-1280",
            "fax_number": "315-853-6087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 LAWRENCE BELL DR STE 1B",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142218442",
            "telephone_number": "716-565-2110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2019-09-16",
        "status": "A",
        "authorized_official_last_name": "CROSSMAN",
        "authorized_official_first_name": "ALYCE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VP, CIO",
        "authorized_official_telephone_number": "315-853-1280",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NY",
            "license": "0701L005",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOH LICENSE #",
            "identifier": "0701L005",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02878215",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID ETIN",
            "identifier": "83Y",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Upstate Homecare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Upstate Homecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicholas Andrew Inglis, PHARM D.
• Horizon Jewel Ingram
• Kimberly Joyce Ingram, LCSW
• Miriam Inhelder, P.A.
• Johanna Christine Innes, M.D.
• Inpatient Medical Services, PLLC
• Rosendo Ilagan Intengan, MD
• Interim Health Care
• Interim Health Care
• Jamie C Interlichia, PA-C

• Oxygen Equipment & Supplies (DME) in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Oxygen Equipment & Supplies (DME) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2019; 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.