INNOVATIVE SERVICES, INC. (NPI# 1336300029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336300029 |
Entity Type | Organization |
Organization Name | INNOVATIVE SERVICES, INC. |
Practice Address |
1311 N Danz Ave Green Bay WI 54302-3005 |
Practice Telephone | 9204310962 |
Mailing Telephone | 9204310962 |
Enumeration Date | 2008-06-24 |
Last Update Date | 2008-06-24 |
Authorized Official Name | MR. RICHARD BAHR (CHIEF OPERATING OFFICER) |
Authorized Official Telephone | 9204310962 |
Is Organization Subpart | Y |
Parent Organization Name | FOUNDATION OF THE ELDERLY |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
Entity Type | Entity Name | Entity Address |
---|---|---|
Iowa Business Entities | INNOVATIVE SERVICES, INC. | 803 Rockford Road Sw, Cedar Rapids, IA 52404 |
Street Address |
1311 N DANZ AVE |
City | GREEN BAY |
State | WI |
Zip Code | 54302-3005 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659721371 | Carissa Marie Sawicki | Counselor | 1234 Main Street, Suite 21, 3rd Floor, Green Bay, WI 54302 | 2016-06-14 |
1891181459 | Shannon Rae Mullins | Registered Nurse | 2254 Imperial Ln, Green Bay, WI 54302 | 2015-04-10 |
1346667045 | David Howard Jadin | Dentist | 1245 Main St, Green Bay, WI 54302 | 2014-03-20 |
1407003577 | Abby Baumgart | Counselor | 1234-21 Main St, Green Bay, WI 54302 | 2008-08-20 |
1447441779 | Muller Eyecare Associates Ltd | Optometrist | 1776 E Mason St, Green Bay, WI 54302 | 2007-08-01 |
1851385231 | Bornemann Nursing Home Inc | Skilled Nursing Facility | 226 Bornemann St, Green Bay, WI 54302 | 2005-08-31 |
1194188706 | Familia Dental Green Bay LLC | Dentist | 1931 Main St., Green Bay, WI 54302 | 2016-03-31 |
1255710125 | Kim Lawrence | Social Worker | 1234 Main St., St 21, 3rd Floor, Green Bay, WI 54302 | 2015-05-26 |
1255464533 | John Muller | Optometrist | 1776 E Mason St, Green Bay, WI 54302 | 2007-03-14 |
1851622005 | Michael Andrew Larkey | Social Worker | 815 Reber St, Green Bay, WI 54302-1116 | 2010-01-27 |
Find all providers in zip 54302 |
Taxonomy Code | 251C00000X |
Grouping | Agencies |
Classification | Day Training, Developmentally Disabled Services |
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588817381 | Aspiro, Inc. | Day Training, Developmentally Disabled Services | 1673 Dousman St, Green Bay, WI 54303-3209 | 2008-10-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346863180 | Vitality Youth Services, LLC | Day Training, Developmentally Disabled Services | 726 12th Ave, Monroe, WI 53566-1435 | 2020-05-27 |
1568096394 | Lisa Roberta Meyer | Day Training, Developmentally Disabled Services | 325 S. Military Rd., Stockbridge, WI 53088 | 2020-03-02 |
1912545633 | Brotherly Love, LLC | Day Training, Developmentally Disabled Services | 1513 E Frances St, Appleton, WI 54911 | 2019-12-12 |
1144797739 | Able Residential & Community Options, LLC | Day Training, Developmentally Disabled Services | 909 S 29th St, Manitowoc, WI 54220-4461 | 2018-11-01 |
1902386055 | Islands of Brilliance | Day Training, Developmentally Disabled Services | 415 E Menomonee St, Milwaukee, WI 53202-6117 | 2018-08-17 |
1790275378 | United Communities Adult Daycare Service Inc | Day Training, Developmentally Disabled Services | 5330 W Lisbon Ave, Milwaukee, WI 53210-2751 | 2018-05-18 |
1649778861 | Easter Seals Southeast Wisconsin | Day Training, Developmentally Disabled Services | 7101 53rd St, Kenosha, WI 53144-7848 | 2018-01-23 |
1912448283 | Easter Seals Southeast Wisconsin | Day Training, Developmentally Disabled Services | 1120 Baxter St, Waukesha, WI 53186-3884 | 2017-03-20 |
1053852079 | Easter Seals Southeast Wisconsin | Day Training, Developmentally Disabled Services | 201 Wisconsin Ave, Waukesha, WI 53186-4926 | 2017-03-09 |
1437694338 | Bekus Adult Day Program LLC | Day Training, Developmentally Disabled Services | 4425 N 63rd St, Milwaukee, WI 53218-5548 | 2016-12-31 |
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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.