Provider Demographics
NPI:1114731551
Name:INNOVATIVE CARE, LLC.
Entity type:Organization
Organization Name:INNOVATIVE CARE, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/CLINICAL SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:LORI
Authorized Official - Middle Name:
Authorized Official - Last Name:HUNTZINGER
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:463-231-3549
Mailing Address - Street 1:9102 N MERIDIAN ST STE 555
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46260-1809
Mailing Address - Country:US
Mailing Address - Phone:463-231-3549
Mailing Address - Fax:765-537-3777
Practice Address - Street 1:9102 N MERIDIAN ST STE 555
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46260-1809
Practice Address - Country:US
Practice Address - Phone:463-231-3549
Practice Address - Fax:765-537-3777
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-05
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health