Provider Demographics
NPI:1508538968
Name:INNOVATIVE HOME CARE SOLUTIONS, LLC,
Entity Type:Organization
Organization Name:INNOVATIVE HOME CARE SOLUTIONS, LLC,
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:MANUEL
Authorized Official - Last Name:HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-598-7322
Mailing Address - Street 1:1904 JONATHON DR STE B
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78572-8555
Mailing Address - Country:US
Mailing Address - Phone:956-598-7322
Mailing Address - Fax:956-594-4225
Practice Address - Street 1:1904 JONATHON DR STE B
Practice Address - Street 2:
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78572-8555
Practice Address - Country:US
Practice Address - Phone:956-598-7322
Practice Address - Fax:956-594-4225
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-04
Last Update Date:2021-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health