Provider Demographics
NPI:1588414619
Name:INNOVIVE HEALTH OF IOWA LLC
Entity type:Organization
Organization Name:INNOVIVE HEALTH OF IOWA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT OF STRATEGY
Authorized Official - Prefix:
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:
Authorized Official - Last Name:D'ADDABBO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-915-3211
Mailing Address - Street 1:2501 GRAND AVE STE D
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50312-5342
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2501 GRAND AVE STE D
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50312-5342
Practice Address - Country:US
Practice Address - Phone:800-915-3211
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-22
Last Update Date:2024-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health