Innovative Family Care, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

INNOVATIVE FAMILY CARE, LLC

Practice address

2515 NC Hwy 55 Ste a
Durham, NC 27713-1374

Phone

(919) 596-0094

NPI assigned

Sep 20, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Shani Davis Harrison, JD

Title

President

Phone

(919) 889-1571

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1284940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307404800000",
    "number": "1730497025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2515 NC HWY 55 STE A",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277131374",
            "telephone_number": "919-596-0094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 NC HWY 55 STE A",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277131374",
            "telephone_number": "919-596-0094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE FAMILY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-20",
        "last_updated": "2011-06-07",
        "status": "A",
        "authorized_official_last_name": "DAVIS HARRISON",
        "authorized_official_first_name": "SHANI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-889-1571",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6008377",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brant A Inman, M.D.
• Innovation Rehabilitation
• Innovation Therapies, PLLC
• Innovative Family Care of NC LLC
• Innovative Family Care of the Carolina'S
• Innovative Healthcare Services, Inc
• Innovative Programing and Associates, Inc
• Innovative Programming Associates, Inc.
• Innovative Senior Care Home Health of Durham LLC
• Innovative Triangle Therapies, PLLC

• Community/Behavioral Health Agency in Durham, NC
• Providers in Durham, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2011; 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.