Innovative Home Care Services

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

INNOVATIVE HOME CARE SERVICES

Practice address

1169 Nectar Dr
Saint Louis, MO 63137-2225

Phone

(314) 918-5391

Fax

(314) 328-6224

NPI assigned

Nov 16, 2020

Organization subpart

No

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

Authorized official

Name

Stacy R Mitchell

Title

Owner

Phone

(314) 918-5391

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1605484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605484800000",
    "number": "1396347167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1169 NECTAR DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631372225",
            "telephone_number": "314-918-5391",
            "fax_number": "314-328-6224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1169 NECTAR DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631372225",
            "telephone_number": "314-918-5391",
            "fax_number": "314-328-6224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE HOME CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-16",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-918-5391"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Innovative Living Solutions in Home Care Services LLC

• All providers in Saint Louis, MO
• Home Health Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; 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.