Innovative Healthcare of Mid Missouri Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

INNOVATIVE HEALTHCARE OF MID MISSOURI INC.

Practice address

108 E Green Meadows Rd
Ste 8
Columbia, MO 65203-3633

Phone

(573) 814-9230

NPI assigned

Dec 26, 2013

Organization subpart

No

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

Authorized official

Name

Bruce Edward Hayes

Title

Vice President / Partner

Phone

(573) 814-9230

Specialties & licenses 1

Addresses

Other names 1

• BrightStar of Mid-Missouri Doing business as

Locations

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

{
    "created_epoch": "1388016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388016000000",
    "number": "1376964957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 E GREEN MEADOWS RD",
            "address_2": "STE 8",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652033633",
            "telephone_number": "573-814-9230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 E GREEN MEADOWS RD",
            "address_2": "STE 8",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652033633",
            "telephone_number": "573-814-9230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE HEALTHCARE OF MID MISSOURI INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-26",
        "last_updated": "2013-12-26",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "VICE PRESIDENT / PARTNER",
        "authorized_official_telephone_number": "573-814-9230"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BrightStar of Mid-Missouri",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lakreisha Ingram
• Lindsay K Ingram, LPC
• Cythia Sue Inlow, LCSW
• Regina Ann Inman, PHARM.D.
• Innate Health and Wellness
• Institute for Outpatient Surgery, LLC
• Alexander Marc Intagliata, MD
• Integrated Lifestyles LLC
• Integration Plus, Inc
• Integrity Home Care, LLC

• Home Health Agency in Columbia, MO
• Providers in Columbia, MO by specialty
• Home Health Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2013; 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.