Organization Active NPI

Innovative Healthcare LLC

Doing business as Valley Medical Billing LLC

  • Family Medicine Physician
  • Crown Point, IN
National Provider Identifier
1689434383
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
INNOVATIVE HEALTHCARE LLC
Doing business as
Innovative Healthcare LLC
Valley Medical Billing LLC
Practice address
250 N Main St Ste B
Crown Point, IN 46307-3278
Phone
(219) 318-0408
NPI assigned
Mar 20, 2024
Last updated
Mar 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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

Authorized official

Name
Heidi Horning
Title
Credentialer
Phone
(707) 299-7043

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

250 N Main St Ste B
Crown Point, IN 46307-3278

Mailing address

250 N Main St Ste B
Crown Point, IN 46307-3278

Other names 2

  • INNOVATIVE HEALTHCARE LLC Doing business as
  • Valley Medical Billing LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1710892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710892800000",
    "number": "1689434383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N MAIN ST STE B",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463073278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 N MAIN ST STE B",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463073278",
            "telephone_number": "219-318-0408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-20",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A",
        "authorized_official_last_name": "HORNING",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_title_or_position": "CREDENTIALER",
        "authorized_official_telephone_number": "707-299-7043"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INNOVATIVE HEALTHCARE LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Valley Medical Billing LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Crown Point, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.