Provider Demographics
NPI:1518241256
Name:INNOVATIONS IN HOME CARE, LLC
Entity Type:Organization
Organization Name:INNOVATIONS IN HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MS
Authorized Official - First Name:LAURIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SLINGERLAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-686-4551
Mailing Address - Street 1:774 MARANELLO ST
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89052-5776
Mailing Address - Country:US
Mailing Address - Phone:702-686-4551
Mailing Address - Fax:702-823-1494
Practice Address - Street 1:340 E WARM SPRINGS RD
Practice Address - Street 2:SUITE 1B
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-4257
Practice Address - Country:US
Practice Address - Phone:702-606-9356
Practice Address - Fax:702-823-1494
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-29
Last Update Date:2011-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care