Organization Active NPI

Innovative Resource Group, LLC

Doing business as APS Healthcare, Inc.

  • Case Management Agency
  • Atlanta, GA
National Provider Identifier
1427180488
Registry record updated Jul 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
INNOVATIVE RESOURCE GROUP, LLC
Doing business as
APS Healthcare, Inc.
Practice address
1680 Phoenix Blvd
Suite 200
Atlanta, GA 30349-5576
Phone
(800) 305-3720
NPI assigned
Mar 12, 2007
Last updated
Jul 6, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
APS HEALTHCARE BETHESDA, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 6, 2009

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

Authorized official

Name
Joyce Tichy
Title
Corporate Secretary/General Counsel
Phone
(914) 288-4795

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

1680 Phoenix Blvd
Suite 200
Atlanta, GA 30349-5576

Mailing address

44 South Boradway
Suite 1200
White Plains, NY 10601
Phone (800) 305-3720

Other identifiers 1

IdentifierTypeStateIssuer
512561725AMedicaidGA

Other names 1

  • APS Healthcare, Inc. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Aps Healthcare2 organizations share this tax ID, including this one
Part of
Aps Healthcare

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1680 Phoenix Blvd
Ste 200
Atlanta, GA 30349
Phone (800) 305-3720

44 S Broadway
Ste 1200
White Plains, NY 10601

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246838400000",
    "number": "1427180488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 SOUTH BORADWAY",
            "address_2": "SUITE 1200",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "10601",
            "telephone_number": "800-305-3720",
            "fax_number": "914-288-4605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 PHOENIX BLVD",
            "address_2": "SUITE 200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303495576",
            "telephone_number": "800-305-3720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE RESOURCE GROUP, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "APS HEALTHCARE BETHESDA, INC.",
        "enumeration_date": "2007-03-12",
        "last_updated": "2009-07-06",
        "status": "A",
        "authorized_official_last_name": "TICHY",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_title_or_position": "CORPORATE SECRETARY/GENERAL COUNSEL",
        "authorized_official_telephone_number": "914-288-4795"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "512561725A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "APS Healthcare, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2009; 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.