Organization Active NPI

Innovative Home Care Services

  • In Home Supportive Care Agency
  • Hinesville, GA
National Provider Identifier
1831625482
Registry record updated May 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
INNOVATIVE HOME CARE SERVICES
Practice address
734 Robin Hood Dr
Hinesville, GA 31313-3985
Phone
(239) 738-8688
NPI assigned
May 2, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2017

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

Authorized official

Name
Kerllanne Occeus
Title
Owner
Phone
(239) 738-8688

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X GA Primary

Addresses

Primary practice location

734 Robin Hood Dr
Hinesville, GA 31313-3985

Mailing address

734 Robin Hood Dr
Hinesville, GA 31313-3985
Phone (239) 738-8688

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1493683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493683200000",
    "number": "1831625482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "734 ROBIN HOOD DR",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "313133985",
            "telephone_number": "239-738-8688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "734 ROBIN HOOD DR",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "313133985",
            "telephone_number": "239-738-8688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE HOME CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-02",
        "last_updated": "2017-05-02",
        "status": "A",
        "authorized_official_last_name": "OCCEUS",
        "authorized_official_first_name": "KERLLANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-738-8688"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinesville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2017; 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.