Provider Demographics
NPI:1124638325
Name:INNOVATIVE HOMECARE SOLUTIONS, INC.
Entity type:Organization
Organization Name:INNOVATIVE HOMECARE SOLUTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:MEDINA
Authorized Official - Last Name:ABEJO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-225-0100
Mailing Address - Street 1:3051 OAK GROVE RD STE 100
Mailing Address - Street 2:
Mailing Address - City:DOWNERS GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60515-1180
Mailing Address - Country:US
Mailing Address - Phone:630-225-0100
Mailing Address - Fax:630-658-1007
Practice Address - Street 1:3051 OAK GROVE RD STE 100
Practice Address - Street 2:
Practice Address - City:DOWNERS GROVE
Practice Address - State:IL
Practice Address - Zip Code:60515-1180
Practice Address - Country:US
Practice Address - Phone:630-225-0100
Practice Address - Fax:630-658-1007
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-03
Last Update Date:2020-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251J00000XAgenciesNursing Care