Provider Demographics
NPI:1194951343
Name:INNOVATIVE PLACEMENTS
Entity type:Organization
Organization Name:INNOVATIVE PLACEMENTS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:LETHA
Authorized Official - Middle Name:
Authorized Official - Last Name:ENGELMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-322-9796
Mailing Address - Street 1:14701 CUMBERLAND RD STE 140
Mailing Address - Street 2:
Mailing Address - City:NOBLESVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46060-8716
Mailing Address - Country:US
Mailing Address - Phone:800-322-9796
Mailing Address - Fax:800-770-4131
Practice Address - Street 1:14701 CUMBERLAND RD STE 140
Practice Address - Street 2:
Practice Address - City:NOBLESVILLE
Practice Address - State:IN
Practice Address - Zip Code:46060-8716
Practice Address - Country:US
Practice Address - Phone:800-322-9796
Practice Address - Fax:800-770-4131
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-02
Last Update Date:2009-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN0000000251E00000X
IN00000000282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
No251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN=========OtherEIN