Provider Demographics
NPI:1922006394
Name:INNOVATIVE HOME HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:INNOVATIVE HOME HEALTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KARLA
Authorized Official - Middle Name:P
Authorized Official - Last Name:VAPPIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-365-7770
Mailing Address - Street 1:1101 E ADMIRAL DOYLE DR
Mailing Address - Street 2:SUITE 404
Mailing Address - City:NEW IBERIA
Mailing Address - State:LA
Mailing Address - Zip Code:70560-6300
Mailing Address - Country:US
Mailing Address - Phone:337-365-7770
Mailing Address - Fax:337-365-9833
Practice Address - Street 1:1101 E ADMIRAL DOYLE DR
Practice Address - Street 2:SUITE 404
Practice Address - City:NEW IBERIA
Practice Address - State:LA
Practice Address - Zip Code:70560-6300
Practice Address - Country:US
Practice Address - Phone:337-365-7770
Practice Address - Fax:337-365-9833
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA877251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1400025Medicaid
LA877OtherSTATE LICENSE NUMBER
LA1400025Medicaid