Provider Demographics
NPI:1134012693
Name:INNOVATIVE CARE CONNECTIONS
Entity type:Organization
Organization Name:INNOVATIVE CARE CONNECTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:FLIPPEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-669-5125
Mailing Address - Street 1:15291 WINTERGREEN ST NW
Mailing Address - Street 2:
Mailing Address - City:ANDOVER
Mailing Address - State:MN
Mailing Address - Zip Code:55304-7738
Mailing Address - Country:US
Mailing Address - Phone:612-669-5125
Mailing Address - Fax:612-293-2900
Practice Address - Street 1:15291 WINTERGREEN ST NW
Practice Address - Street 2:
Practice Address - City:ANDOVER
Practice Address - State:MN
Practice Address - Zip Code:55304-7738
Practice Address - Country:US
Practice Address - Phone:612-294-0777
Practice Address - Fax:612-293-2900
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-02
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Single Specialty