INNOVATION HEALTHCARE SOLUTION, PLLC (NPI# 1790327666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790327666 |
| Entity Type | Organization |
| Organization Name | INNOVATION HEALTHCARE SOLUTION, PLLC |
| Practice Address |
3500 Vest Mill Rd Ste 33 Winston Salem NC 27103-2978 |
| Mailing Address |
3837 Crusade Dr Winston Salem NC 27101-2252 |
| Practice Telephone | 3369345354 |
| Practice Fax Number | 8774455698 |
| Mailing Telephone | 3369863046 |
| Mailing Fax Number | 8774455698 |
| Enumeration Date | 2019-10-11 |
| Last Update Date | 2019-10-11 |
| Authorized Official Name | PROF. KATETIA BENNETT (AGENCY DIRECTOR) |
| Authorized Official Telephone | 3369863046 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251F00000X | Home Infusion | Agencies | ||
| N | 376K00000X | Nurse's Aide | Nursing Service Related Providers | ||
| N | 385H00000X | Respite Care | Respite Care Facility | ||
| Y | 251J00000X | Nursing Care | Agencies |
| Street Address |
3500 VEST MILL RD STE 33 |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27103-2978 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780145714 | Katetia H Bennett | Registered Nurse | 3500 Vest Mill Rd Ste 33, Winston Salem, NC 27103-2978 | 2019-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124648126 | Kelly Anne Wales | Pharmacist | 3917-a Westpoint Boulevard, Winston-salem, NC 27103 | 2020-04-20 |
| 1386281533 | Elena Mcginty | Nurse Practitioner | 1225 Creekshire Way, Suite 270, Winston Salem, NC 27103 | 2019-12-06 |
| 1992359442 | Madeline Pryor | Pharmacist | 255 Charlois Drive, Winston Salem, NC 27103 | 2019-08-01 |
| 1215599584 | Palmetto Oxygen LLC | Durable Medical Equipment & Medical Supplies | 1100 S Stratford Road, Building B, Suite 420, Winston Salem, NC 27103 | 2019-07-07 |
| 1548734718 | Trivy Johnson | Specialist | 1384-b Westgate Center Dr., Winston Salem, NC 27103 | 2019-01-21 |
| 1447745047 | Novant Health Rehabilitation Hospital of Winston-salem, LLC | Rehabilitation Hospital | 2475 Hillcrest Center Circle, Winston Salem, NC 27103 | 2018-06-26 |
| 1346740206 | Joseph Miller | Physical Therapist | 1605 Westbrook Dr, Suite 103, Winston-salem, NC 27103 | 2018-02-17 |
| 1548779101 | Kristin Blow | Counselor | 3000 Bethesda Pl Ste 202, Winston Salem, NC 27103 | 2017-09-27 |
| 1891213443 | Alisha Dawn Wilson | Occupational Therapy Assistant | 2101 Homestead Hills Drive, Winston Salem, NC 27103 | 2017-09-05 |
| 1588186969 | Brandy Wilson | Social Worker | 153 Cameron Way Circle, Winston Salem, NC 27103 | 2017-07-07 |
| Find all providers in zip 27103 | ||||
| Taxonomy Code | 251J00000X |
| Grouping | Agencies |
| Classification | Nursing Care |
| A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487142725 | Beyond Nursing Staffing Services, LLC | Nursing Care | 3820 Poplar Valley Ln, Winston Salem, NC 27127-4508 | 2018-04-23 |
| 1588718274 | Universal Services | Nursing Care | 301 N Main St Ste 2501, Winston Salem, NC 27101-3885 | 2007-01-22 |
| 1437521523 | Sharpe Staffing | Nursing Care | 8011 N Point Blvd, 102, Winston Salem, NC 27106-3879 | 2015-10-28 |
| 1154718278 | Mission Medstaff, LLC | Nursing Care | 3410 Healy Dr, Suite 102, Winston Salem, NC 27103-1403 | 2015-04-16 |
| 1346437274 | Aids Care Service, Inc | Nursing Care | 127 S Poplar St, Winston Salem, NC 27101-3755 | 2007-09-25 |
| 1659490456 | Metro Nursing Inc. | Nursing Care | 1531 Westbrook Plaza Dr, Suite G, Winston Salem, NC 27103-1330 | 2007-03-29 |
| 1861527129 | Delta Home Care, LLC. | Nursing Care | 3410 Healy Dr, Suite 213, Winston Salem, NC 27103-1403 | 2007-02-23 |
| 1477607166 | Universal Services | Nursing Care | 301 N Main St Ste 2501, Winston Salem, NC 27101-3885 | 2007-01-22 |
| 1598818445 | Reynolds Home Care | Nursing Care | 301 N Main St Ste 2501, Winston Salem, NC 27101-3885 | 2007-01-22 |
| 1598840365 | Universal Services Dba Reynolds Home Care | Nursing Care | 301 N Main St, Suite 2501, Winston Salem, NC 27101-3836 | 2006-10-27 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27103 |
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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.