INNOVATIVE HEALTH CARE SERVICE OF MIDWEST
NPI 1225789837
Home Health in Country Club Hills, IL

Q: What is Innovative Health Care Service Of Midwest's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Active since January 14, 2022

4317 176TH ST, COUNTRY CLUB HILLS, IL 60478(314) 305-0738(314) 925-2314 Get Directions Write a Review

NPPES record last updated: January 14, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Innovative Health Care Service Of Midwest NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INNOVATIVE HEALTH CARE SERVICE OF MIDWEST (NPI 1225789837) is a healthcare organization registered as a home health in Country Club Hills, Illinois and active in the NPI registry since January 2022. The organization lists Dominique Lawerence, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1225789837

Entity TypeOrganization

Primary Taxonomy251E00000X

Legal Business NameINNOVATIVE HEALTH CARE SERVICE OF MIDWEST

Location Address4317 176TH STCountry Club Hills, IL 60478-4745

Mailing Address4317 176th StCountry Club Hills, IL 60478-4745 · (314) 305-0738 · Fax (314) 925-2314

Phone(314) 305-0738

Fax(314) 925-2314

Organization SubpartNo

Authorized OfficialDominique LawerenceExecutive Director · (314) 305-0738

Enumeration DateJanuary 14, 2022

NPPES CertifiedJanuary 14, 2022

✔ NPI 1225789837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies

Taxonomy Code251E00000X

Definition

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

4317 176TH ST, Country Club Hills, IL 60478

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Innovative Health Care Service Of Midwest's NPI number?

The NPI number for Innovative Health Care Service Of Midwest is 1225789837. It was assigned to this organization in the NPPES registry on January 14, 2022.

Where is Innovative Health Care Service Of Midwest located?

Innovative Health Care Service Of Midwest is located at 4317 176th St, Country Club Hills, IL 60478. The listed phone number is (314) 305-0738.

What is Innovative Health Care Service Of Midwest's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Innovative Health Care Service Of Midwest was last updated on January 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.