Innovative Human Resources-Pee Dee Band, LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

INNOVATIVE HUMAN RESOURCES-PEE DEE BAND, LLC

Practice address

460 Sandybrooke Dr
High Point, NC 27265-2923

Phone

(336) 886-0142

NPI assigned

Dec 9, 2010

Last updated

Sep 20, 2024By 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

Lynn B. Brooks, MS ED. D.NPI 1053600551

Title

Ceo/Compliance Officer

Phone

(404) 552-4284

Specialties & licenses 11

Addresses

Other identifiers 5

Other names 2

• Innovative Human Resources, LLP Former legal business name
• IHR-Pee Dee Band, LLC Other name

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.

• Lynn B. Brooks, MS ED. D.

  • Professional Counselor
  • High Point, NC
  • NPI 1053600551
  NPD Authorized official

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

{
    "created_epoch": "1291852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726790400000",
    "number": "1396048542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 SANDYBROOKE DR",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272652923",
            "telephone_number": "404-552-4284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 SANDYBROOKE DR",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272652923",
            "telephone_number": "336-886-0142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE HUMAN RESOURCES-PEE DEE BAND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-09",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-19",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "CEO/COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "404-552-4284",
        "authorized_official_credential": "MS ED. D."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "A8001",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": "NC",
            "license": "0008620494",
            "primary": false
        },
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": "GA",
            "license": "731914",
            "primary": false
        },
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE PRINCIPAL AGENCY RESIDENT",
            "identifier": "187956",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE/NPN ACCIDENT SICKNESS, HEALTH, & LIFE",
            "identifier": "8620494",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INSURANCE: ACCIDENT, SICKNESS, & LIFE LICENSE",
            "identifier": "731914",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE/NPN HEALTH, SICKNESS, ACCIDENT, & LIFE",
            "identifier": "8620494",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE: ACCIDENT, HEALTH, SICKNESS, & LIFE",
            "identifier": "40918375",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Innovative Human Resources, LLP",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "IHR-Pee Dee Band, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Case Management Agency in High Point, NC
• Providers in High Point, NC by specialty
• Case Management Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; 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.