NPIMap

Organization Active NPI

Innovation Healthcare Solution, PLLC

  • Nursing Care Agency
  • Winston Salem, NC
National Provider Identifier
1790327666
Registry record updated Oct 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
INNOVATION HEALTHCARE SOLUTION, PLLC
Practice address
3500 Vest Mill Rd Ste 33
Winston Salem, NC 27103-2978
Phone
(336) 934-5354
Fax
(877) 445-5698
NPI assigned
Oct 11, 2019
Last updated
Oct 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2019

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

Authorized official

Name
Prof. Katetia Bennett, PHDNPI 1780145714
Title
Agency Director
Phone
(336) 986-3046

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Home Infusion Agency 251F00000X
Nursing Care Agency 251J00000X Primary
Nurse's Aide 376K00000X
Respite Care 385H00000X

Addresses

Primary practice location

3500 Vest Mill Rd Ste 33
Winston Salem, NC 27103-2978

Mailing address

3837 Crusade Dr
Winston Salem, NC 27101-2252
Phone (336) 986-3046

National Provider Directory

National Provider Directory

Locations

3500 Vest Mill Rd
Ste 33
Winston Salem, NC 27103
Phone (336) 934-5354

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1570752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570752000000",
    "number": "1790327666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3837 CRUSADE DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271012252",
            "telephone_number": "336-986-3046",
            "fax_number": "877-445-5698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 VEST MILL RD STE 33",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271032978",
            "telephone_number": "336-934-5354",
            "fax_number": "877-445-5698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATION HEALTHCARE SOLUTION, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-11",
        "last_updated": "2019-10-11",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "KATETIA",
        "authorized_official_title_or_position": "AGENCY DIRECTOR",
        "authorized_official_telephone_number": "336-986-3046",
        "authorized_official_name_prefix": "Prof.",
        "authorized_official_credential": "PHD"
    },
    "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": true
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2019; 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.