Provider Demographics
NPI:1639876360
Name:INNOVATIONS BY 333 CORP
Entity Type:Organization
Organization Name:INNOVATIONS BY 333 CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:READ
Authorized Official - Suffix:IV
Authorized Official - Credentials:
Authorized Official - Phone:720-891-8127
Mailing Address - Street 1:922 NW CIRCLE BLVD STE 160-333
Mailing Address - Street 2:
Mailing Address - City:CORVALLIS
Mailing Address - State:OR
Mailing Address - Zip Code:97330-1483
Mailing Address - Country:US
Mailing Address - Phone:720-891-8127
Mailing Address - Fax:866-374-0253
Practice Address - Street 1:4000 SW ORBIT ST UNIT 213
Practice Address - Street 2:
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97005-2063
Practice Address - Country:US
Practice Address - Phone:720-891-8127
Practice Address - Fax:866-374-0253
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-13
Last Update Date:2023-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child