Innovate Health Solutions, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

INNOVATE HEALTH SOLUTIONS, LLC

Practice address

2 Richmond SQ Ste 110
Providence, RI 02906-5135

Phone

(774) 432-0446

NPI assigned

Jul 26, 2022

Organization subpart

No

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

Authorized official

Name

Jose Bolanos, RESEARCHNPI 1114644481

Title

Office Manager

Phone

(401) 414-1400

Specialties & licenses 1

Addresses

Other names 1

• Innovative Health Solutions, LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jose Bolanos, MD

  • Student in an Organized Health Care Education/Training Program
  • Providence, RI
  • NPI 1114644481
  NPD Authorized official
• Leonard Alan Berkowitz, PA-C

  • Physician Assistant
  • Providence, RI
  • NPI 1740430800

  RI

  Medicare reassignment

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

{
    "created_epoch": "1658793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670198400000",
    "number": "1699401372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 RICHMOND SQ STE 110",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029065135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 RICHMOND SQ STE 110",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029065135",
            "telephone_number": "774-432-0446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATE HEALTH SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-26",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A",
        "authorized_official_last_name": "BOLANOS",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "401-414-1400",
        "authorized_official_credential": "RESEARCH"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Innovative Health Solutions, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katherine Mariah Ingram, PHD, LP
• Kendra Anne Inkley
• Inner Wisdom Teletherapy, LLC
• Inneract
• Innerbloom Psychology LLC
• Innovative Health & Well Being, LLC
• Insight Neuropsychology LLC
• Integrated Patient Solutions of Rhode Island, P.C.
• Integrated Wound Care Rhode Island PLLC
• Integrative Care

• All providers in Providence, RI
• Internal Medicine Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.