NPIMap

Organization Active NPI

Innovative Senior Solutions, LLC

Doing business as Innovative Senior Solutions

  • Nursing Care Agency
  • Americus, GA
National Provider Identifier
1932615895
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
129-R-0315 Issued in GA
Legal business name
INNOVATIVE SENIOR SOLUTIONS, LLC
Doing business as
Innovative Senior Solutions
Practice address
231 W Lamar St
Americus, GA 31709-3544
Phone
(229) 380-4719
Fax
(229) 380-0073
NPI assigned
Dec 14, 2017
Last updated
Aug 28, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Authorized official

Name
Jessica WrightNPI 1922142389
Title
Coo/RN
Phone
(866) 409-0582

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X 129-R-0315 GA Primary
Adult Day Care Clinic/Center 261QA0600X NU
Emergency Response System Companies 333300000X NU

Addresses

Primary practice location

231 W Lamar St
Americus, GA 31709-3544

Mailing address

P.O. Box 456
Americus, GA 31709-3544
Phone (866) 409-0582

Other identifiers 1

IdentifierTypeStateIssuer
526289790MedicaidGA

Other names 1

  • INNOVATIVE SENIOR SOLUTIONS Doing business as

National Provider Directory

National Provider Directory

Locations

231 W Lamar St
Americus, GA 31709
Phone (229) 380-4719

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": "1513209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724803200000",
    "number": "1932615895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 456",
            "city": "AMERICUS",
            "state": "GA",
            "postal_code": "317093544",
            "telephone_number": "866-409-0582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 W LAMAR ST",
            "city": "AMERICUS",
            "state": "GA",
            "postal_code": "317093544",
            "telephone_number": "229-380-4719",
            "fax_number": "229-380-0073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE SENIOR SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-14",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "COO/RN",
        "authorized_official_telephone_number": "866-409-0582"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "GA",
            "license": "129-R-0315",
            "primary": true
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333300000X",
            "taxonomy_group": "",
            "desc": "Emergency Response System Companies",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "526289790",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INNOVATIVE SENIOR SOLUTIONS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Americus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; 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.