Organization Active NPI

Innovations Health Devices LLC

  • Durable Medical Equipment & Medical Supplies
  • Roseville, CA
National Provider Identifier
1932540846
Registry record updated Apr 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
23550 Issued in CA
Legal business name
INNOVATIONS HEALTH DEVICES LLC
Practice address
1009 Enterprise Way Ste 350
Roseville, CA 95678-3019
Phone
(916) 468-0358
Fax
(916) 791-0585
NPI assigned
Jul 9, 2013
Last updated
Apr 16, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2014

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

Authorized official

Name
Mr. Kenneth Shawn McGuire
Title
President
Phone
(916) 468-0358

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 23550 CA Primary

Addresses

Primary practice location

1009 Enterprise Way Ste 350
Roseville, CA 95678-3019

Mailing address

1009 Enterprise Way Ste 350
Roseville, CA 95678-3019
Phone (916) 468-0358

Other names 1

  • Kinova USA Other name

National Provider Directory

National Provider Directory

Locations

1009 Enterprise Way
Ste 350
Roseville, CA 95678
Phone (916) 468-0358

NPI Registry JSON

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

{
    "created_epoch": "1373328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397606400000",
    "number": "1932540846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 ENTERPRISE WAY STE 350",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956783019",
            "telephone_number": "916-468-0358",
            "fax_number": "916-791-0585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 ENTERPRISE WAY STE 350",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956783019",
            "telephone_number": "916-468-0358",
            "fax_number": "916-791-0585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIONS HEALTH DEVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-09",
        "last_updated": "2014-04-16",
        "status": "A",
        "authorized_official_last_name": "MCGUIRE",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "SHAWN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-468-0358",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "23550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kinova USA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2014; 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.