Innovative Health Services Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

677914 Issued in TX

Legal business name

INNOVATIVE HEALTH SERVICES INC

Practice address

203 South Main Street
Anahuac, TX 77514-1470

Phone

(409) 267-6194

Fax

(409) 267-6428

NPI assigned

Oct 3, 2006

Last updated

Mar 4, 2008By 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

Mrs. Adelfa Yap Andres

Title

Administrator

Phone

(409) 267-6194

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1366536187. Details of each certification follow.

• CCN 677914 Home health agency · Active · Details

Home health agency certification: CCN 677914

Legal name

INNOVATIVE HEALTH SERVICES, INC.

Doing business as

INNOVATIVE HEALTH SERVICES, INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Apr 28, 2006

Last certification

Nov 23, 2020

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Aug 30, 2004 in TX

Enrollment address

3329-B FM 563
Anahuac, TX 77514-1576

Listed as

Innovative Health Services IncCCN 677914 · All quality measures

Ownership

Proprietary

Certified

Apr 28, 2006

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 5

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, and the practitioner matching its NPPES authorized official.

• Noah Gregorio, PT, DPT

  • Physical Therapist
  • League City, TX
  • NPI 1396551289
  NPD (past)

Affiliated clinicians 3

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

• Nedrana Boutte, M.D.

  • Family Medicine Physician
  • Winnie, TX
  • NPI 1982805586

  Home health agency

  Care Compare affiliation
• William Bradley Pokorny, D.O.

  • Family Medicine Physician
  • Anahuac, TX
  • NPI 1497036933

  Home health agency

  Care Compare affiliation
• John L Redman, MD

  • Family Medicine Physician
  • Anahuac, TX
  • NPI 1356522759

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204588800000",
    "number": "1366536187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 SOUTH MAIN STREET",
            "address_2": "PO BOX 1470",
            "city": "ANAHUAC",
            "state": "TX",
            "postal_code": "775141470",
            "telephone_number": "409-267-6194",
            "fax_number": "409-267-6428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 SOUTH MAIN STREET",
            "city": "ANAHUAC",
            "state": "TX",
            "postal_code": "775141470",
            "telephone_number": "409-267-6194",
            "fax_number": "409-267-6428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2008-03-04",
        "status": "A",
        "authorized_official_last_name": "ANDRES",
        "authorized_official_first_name": "ADELFA",
        "authorized_official_middle_name": "YAP",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "409-267-6194",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "677914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• County of Chambers (Chambers County EMS)
• Family Clinic of Anahuac
• Courtney Elisabeth Fregia, MSN, APRN, FNP-C
• Devan Briann Gore
• Whitney Lynn Gusman, FNP-C
• Linda Koonce, FNP-C
• Leonidas S. Andres, M D. P a (Andres Medical Clinic)
• Christi Morris, FNP-C
• Alexis Raphael Pierre IV, DDS
• William Bradley Pokorny, D.O.

• Home Health Agency in Anahuac, TX
• Providers in Anahuac, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; 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.