Provider Demographics
NPI:1851707251
Name:INNOVATIVE HOME SERVICES
Entity Type:Organization
Organization Name:INNOVATIVE HOME SERVICES
Other - Org Name:INTERIM HEALTHCARE WEST LOS ANGELES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SR VP
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-858-2778
Mailing Address - Street 1:1505 4TH ST
Mailing Address - Street 2:206
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90401-2347
Mailing Address - Country:US
Mailing Address - Phone:424-322-7262
Mailing Address - Fax:424-322-7251
Practice Address - Street 1:1505 4TH ST
Practice Address - Street 2:206
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90401-2347
Practice Address - Country:US
Practice Address - Phone:424-322-7262
Practice Address - Fax:424-322-7251
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-07
Last Update Date:2014-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care