Innovative Healthcare Systems, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

0936L001 Issued in NY

Legal business name

INNOVATIVE HEALTHCARE SYSTEMS, INC.

Practice address

23 Nagle Ave
Ground Floor
New York, NY 10040-1405

Phone

(121) 254-4903

Fax

(212) 544-9097

NPI assigned

May 4, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Joan Y. Shockness

Title

Vice President

Phone

(212) 544-9033

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232582400000",
    "number": "1497967269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 NAGLE AVE",
            "address_2": "GROUND FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100401405",
            "telephone_number": "121-254-4903",
            "fax_number": "212-544-9097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 NAGLE AVE",
            "address_2": "GROUND FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100401405",
            "telephone_number": "121-254-4903",
            "fax_number": "212-544-9097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE HEALTHCARE SYSTEMS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2009-01-22",
        "status": "A",
        "authorized_official_last_name": "SHOCKNESS",
        "authorized_official_first_name": "JOAN",
        "authorized_official_middle_name": "Y.",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "212-544-9033",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "0936L001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02559479",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rhaven Nikole Innis
• Zorana Tamara Innis
• Innovative Approach Physical Therapy PC
• Innovative Career Center LLC
• Innovative Healthcare Physicians, P.C.
• Innovative Medical Concepts P.C.
• Innovative Medical Diagnostic Care PC
• Innovative Medical Diagnostic Care, PC
• Innovative Mr Imaging, PC
• Innovative Physical Therapeutics

• Home Health Agency in New York, NY
• Providers in New York, NY by specialty
• Home Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.