Health Innovative Services, Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

HEALTH INNOVATIVE SERVICES, INC

Practice address

6209 Oleander Dr
Suite 213
Wilmington, NC 28403-3581

Phone

(910) 791-8648

NPI assigned

Dec 4, 2007

Last updated

Dec 4, 2007By 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

Dona H Burrell

Title

Treasurer

Phone

(910) 791-8648

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196726400000",
    "number": "1487836144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6209 OLEANDER DR",
            "address_2": "SUITE 213",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284033581",
            "telephone_number": "910-791-8648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6209 OLEANDER DR",
            "address_2": "SUITE 213",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284033581",
            "telephone_number": "910-791-8648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH INNOVATIVE SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-04",
        "last_updated": "2007-12-04",
        "status": "A",
        "authorized_official_last_name": "BURRELL",
        "authorized_official_first_name": "DONA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "910-791-8648"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; 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.