Innovative Care, Inc.

Primary specialty

Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X

Legal business name

INNOVATIVE CARE, INC.

Practice address

5190 US Highway 158
Advance, NC 27006-6946

Phone

(336) 998-7351

NPI assigned

Dec 14, 2006

Organization subpart

No

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

Authorized official

Name

T. Rodney Worley

Title

Manager

Phone

(336) 998-7351

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• B-Care Services Doing business as

Locations

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699837856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1678",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270121678",
            "telephone_number": "336-998-7351",
            "fax_number": "336-998-5470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5190 US HIGHWAY 158",
            "city": "ADVANCE",
            "state": "NC",
            "postal_code": "270066946",
            "telephone_number": "336-998-7351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WORLEY",
        "authorized_official_first_name": "T.",
        "authorized_official_middle_name": "RODNEY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "336-998-7351"
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4581854",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7701352",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "B-Care Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mark Howard Holshouser, PHD
• Benjamin Hoover, PT, DPT, CSCS
• Hospital Medicine Specialists, PLLC
• Olivia Bosshardt Hughes, M.D.
• Susan Yurgel Hunsinger, M.D.
• Kristen N Jablonski, RN, BSN
• Ellen Bradford James, COTA/L
• Donna S Johnson
• Ellyn Victoria Johnson, OD
• Anthony D Jones, PTA

• Parenteral & Enteral Nutrition Supplies (DME) in Advance, NC
• Providers in Advance, NC by specialty
• Parenteral & Enteral Nutrition Supplies (DME) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.