Innovative Services Inc

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

INNOVATIVE SERVICES INC

Practice address

7506 State Route 5
Clinton, NY 13323-3654

Phone

(315) 853-1280

Fax

(315) 853-6087

NPI assigned

May 24, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Alyce M Crossman

Title

VP, Cio

Phone

(315) 853-1280

Specialties & licenses 5

Addresses

Other identifiers 3

Other names 1

• Upstate Homecare Doing business as

Locations

Practitioners 1

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

• Sandra Gladys Evans, PHARMD

  • Pharmacist
  • Syracuse, NY
  • NPI 1154127348
  NPD (past)

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739836800000",
    "number": "1720033715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 325",
            "city": "CLINTON",
            "state": "NY",
            "postal_code": "133230325",
            "telephone_number": "315-853-1280",
            "fax_number": "315-853-6087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7506 STATE ROUTE 5",
            "city": "CLINTON",
            "state": "NY",
            "postal_code": "133233654",
            "telephone_number": "315-853-1280",
            "fax_number": "315-853-6087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A",
        "authorized_official_last_name": "CROSSMAN",
        "authorized_official_first_name": "ALYCE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VP, CIO",
        "authorized_official_telephone_number": "315-853-1280",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOH LICENSE #",
            "identifier": "0701L001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID ETIN",
            "identifier": "83Y",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02883443",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Upstate Homecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daniel Horth, MD
• Mary A Hosey-Pardi
• Tina Alice Hoyt, CCC-SLP
• Emma Hutchens
• Jillian Lee Iacovissi
• Integrated Behavioral Wellness, LLC
• Cheyenne Isaacs, RDN
• J Michel Associate
• Angela Marie Jaros, PHARMD
• Jean M Baker

• Oxygen Equipment & Supplies (DME) in Clinton, NY
• Providers in Clinton, NY by specialty
• Oxygen Equipment & Supplies (DME) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; 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.