Innovative Support Services

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

INNOVATIVE SUPPORT SERVICES

Practice address

1101 Electric Rd
Salem, VA 24153-6413

Phone

(804) 852-0655

NPI assigned

Oct 9, 2024

Organization subpart

No

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

Authorized official

Name

Dwayne Lynch

Title

Owner

Phone

(804) 852-0655

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1728432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728432000000",
    "number": "1619796208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 544",
            "city": "NEW CASTLE",
            "state": "VA",
            "postal_code": "241270544",
            "telephone_number": "804-852-0655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 ELECTRIC RD",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241536413",
            "telephone_number": "804-852-0655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE SUPPORT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-09",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A",
        "authorized_official_last_name": "LYNCH",
        "authorized_official_first_name": "DWAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-852-0655"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carmen Marie Incha, MD
• Mary Aline Albano Ingente
• Arlene Joan Ingram
• Innovative Community Solutions, Inc.
• Innovative Community Solutions, Inc.
• Inova Fairfax Hospital
• Raya Iqbal, MD
• Ali Iranmanesh
• Ashraf S Iranmanesh, PHARM.D
• Nasif Islam, DO

• Developmentally Disabled Services Day Training Agency in Salem, VA
• Providers in Salem, VA by specialty
• Developmentally Disabled Services Day Training Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.