Provider Demographics
NPI:1265021224
Name:INNOVATIONS HOME HEALTH LLC
Entity type:Organization
Organization Name:INNOVATIONS HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:OSMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:DEEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:571-612-0301
Mailing Address - Street 1:12826 PERDIDO GRV
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78253-3412
Mailing Address - Country:US
Mailing Address - Phone:571-612-0301
Mailing Address - Fax:
Practice Address - Street 1:12826 PERDIDO GRV
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78253-3412
Practice Address - Country:US
Practice Address - Phone:571-612-0301
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-14
Last Update Date:2021-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Multi-Specialty
No385H00000XRespite Care FacilityRespite Care
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
No251F00000XAgenciesHome Infusion
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No332U00000XSuppliersHome Delivered MealsGroup - Multi-Specialty
No174200000XOther Service ProvidersMealsGroup - Multi-Specialty