INNOVATIVE HEALTHCARE SERVICES LLC (NPI# 1255841300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255841300 |
| Entity Type | Organization |
| Organization Name | INNOVATIVE HEALTHCARE SERVICES LLC |
| Practice Address |
2 Stable Ct Collegeville PA 19426-4410 |
| Practice Telephone | 6103240454 |
| Practice Fax Number | 4849020445 |
| Mailing Telephone | 6103240454 |
| Mailing Fax Number | 4849020445 |
| Enumeration Date | 2017-10-03 |
| Last Update Date | 2017-10-03 |
| Authorized Official Name | LENA A CAROSELLI (OWNER) |
| Authorized Official Telephone | 6103240454 |
| Authorized Official Credential | R.EEG T |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2472E0500X |
Technician, Other Specialization: EEG |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
2 STABLE CT |
| City | COLLEGEVILLE |
| State | PA |
| Zip Code | 19426-4410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215279914 | Lena Caroselli | Technician, Other | 2 Stable Ct, Collegeville, PA 19426-4410 | 2013-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063057040 | Oswaldo Giovanni Tagle Manrique | Physician Assistant | 1200 Mokychic Road, Collegeville, PA 19426 | 2019-11-13 |
| 1639722507 | Child & Family Focus Inc | Community/Behavioral Health | 121 Wartman Road, Perkiomen Township, PA 19426 | 2019-07-19 |
| 1487116299 | Joshua Heinsheimer | Dentist | 241-3 Plaza Drive, Collegeville, PA 19426 | 2019-04-01 |
| 1093284101 | Courtney Cione | Nurse Practitioner | 1200 Mokychic Rd., Collegeville, PA 19426 | 2018-11-19 |
| 1538645007 | Linda Kathleen Muller | Registered Nurse | 369 Avon Ave, Collegeville, PA 19426 | 2018-07-17 |
| 1215445333 | Mary Catherine Campetti | Nurse Practitioner | 555 Second Ave Ste C-850, Collegeville, PA 19426 | 2018-01-11 |
| 1831606292 | Kevin Titze | Counselor | 3819 Germantown Pike Ste B, Collegeville, PA 19426 | 2018-01-08 |
| 1942727441 | Naomi Avoline Kim | Counselor | 555 2nd Ave, Building B, Suite 101, Collegeville, PA 19426 | 2017-08-24 |
| 1376086348 | Kelly Robin Durante | Nurse Practitioner | 433 Komen Ct., Collegeville, PA 19426 | 2016-11-23 |
| 1558817262 | Joseph Kosto | Pharmacist | 1219 Taylor Way, Collegeville, PA 19426 | 2016-09-01 |
| Find all providers in zip 19426 | ||||
| Taxonomy Code | 2472E0500X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Other |
| Specialization | EEG |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215279914 | Lena Caroselli | Technician, Other | 2 Stable Ct, Collegeville, PA 19426-4410 | 2013-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790394153 | Melissa Miles | Technician, Other | 100 Front St Ste 280, Conshohocken, PA 19428-2891 | 2020-07-30 |
| 1992366785 | Katelyn S Mcgill | Technician, Other | 41 University Dr Ste 400, Newtown, PA 18940-1873 | 2019-06-24 |
| City | COLLEGEVILLE |
| Zip Code | 19426 |
Please comment or provide details below to improve the information on INNOVATIVE HEALTHCARE SERVICES LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.