Innovations Health Staffing, LLC

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

INNOVATIONS HEALTH STAFFING, LLC

Practice address

1220 Melody LN Ste 155
Roseville, CA 95678-5210

Phone

(916) 425-1171

Fax

(916) 742-5157

NPI assigned

Aug 8, 2012

Organization subpart

Yes

Parent organization

INNOVATIONS HEALTH SYSTEMS, LLCAs reported in NPPES

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

Authorized official

Name

Mr. Dan Thomas Niccum

Title

Strategy & Implementation Officer

Phone

(916) 425-1171

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1344384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344384000000",
    "number": "1851648869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 MELODY LN STE 155",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956785210",
            "telephone_number": "916-425-1171",
            "fax_number": "916-742-5157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 MELODY LN STE 155",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956785210",
            "telephone_number": "916-425-1171",
            "fax_number": "916-742-5157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIONS HEALTH STAFFING, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INNOVATIONS HEALTH SYSTEMS, LLC",
        "enumeration_date": "2012-08-08",
        "last_updated": "2012-08-08",
        "status": "A",
        "authorized_official_last_name": "NICCUM",
        "authorized_official_first_name": "DAN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "STRATEGY & IMPLEMENTATION OFFICER",
        "authorized_official_telephone_number": "916-425-1171",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nursing Care Agency in Roseville, CA
• Providers in Roseville, CA by specialty
• Nursing Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2012; 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.