Innovative Living Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

INNOVATIVE LIVING INC.

Practice address

585 Exton CMNS
Exton, PA 19341-2453

Phone

(610) 280-0610

Fax

(610) 280-0618

NPI assigned

Jul 6, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Wolanyo K Agudu

Title

Owner

Phone

(610) 280-0610

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902004476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 EXTON CMNS",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193412453",
            "telephone_number": "610-280-0610",
            "fax_number": "610-280-0618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 EXTON CMNS",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193412453",
            "telephone_number": "610-280-0610",
            "fax_number": "610-280-0618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE LIVING INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AGUDU",
        "authorized_official_first_name": "WOLANYO",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-280-0610",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.