Provider Demographics
NPI:1841404001
Name:INVISIBLE CAREGIVER INNOVATIONS,LLC
Entity Type:Organization
Organization Name:INVISIBLE CAREGIVER INNOVATIONS,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:PATRECE
Authorized Official - Middle Name:
Authorized Official - Last Name:BANKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:425-283-4321
Mailing Address - Street 1:PO BOX 1348
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98009-1348
Mailing Address - Country:US
Mailing Address - Phone:425-283-4321
Mailing Address - Fax:425-679-5239
Practice Address - Street 1:11636 SE 5TH ST
Practice Address - Street 2:SUITE 100
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98005-3527
Practice Address - Country:US
Practice Address - Phone:425-283-4321
Practice Address - Fax:425-679-5239
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-09
Last Update Date:2008-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA9059023Medicaid
IL=========001Medicaid