Provider Demographics
NPI:1497007066
Name:TOTAL INNOVATIZE
Entity Type:Organization
Organization Name:TOTAL INNOVATIZE
Other - Org Name:HOME HEALTH AIDE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:HOME HEALTH AIDE
Authorized Official - Prefix:
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:M
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:HHA
Authorized Official - Phone:202-717-3776
Mailing Address - Street 1:1805 MONTANA AVE NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-1859
Mailing Address - Country:US
Mailing Address - Phone:202-747-3451
Mailing Address - Fax:187-798-8424
Practice Address - Street 1:1805 MONTANNA AVE
Practice Address - Street 2:
Practice Address - City:NORTHEAST
Practice Address - State:DC
Practice Address - Zip Code:20002
Practice Address - Country:US
Practice Address - Phone:202-747-3451
Practice Address - Fax:187-798-8424
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-08
Last Update Date:2012-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCH100082253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care