INNOVATIVE SERVICES, INC.
NPI 1437433562
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Green Bay, WI
NPI Status: Active since October 07, 2011
Contact Information
445 S MADISON ST
GREEN BAY, WI
ZIP 54301
Phone: (920) 431-0962
Fax: (920) 884-1967
- Organization
- Community Based Residential Treatment Fa...
- Accepts Insurance
- CLIA Number: 52D2205913
- CLIA Cert. Type: Other - COMMUNITY SUPPORTD LIVING
- CLIA Exp. Date: 12-15-2026
About INNOVATIVE SERVICES, INC.
This page provides the complete NPI Profile along with additional information for Innovative Services, Inc., a provider established in Green Bay, Wisconsin operating as a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1437433562 assigned on October 2011. The practitioner's primary taxonomy code is 320900000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Mrs. Kerry Blondheim (Vice President Of Administration)
- NPI
- 1437433562
- Provider Name
- INNOVATIVE SERVICES, INC.
- Entity Type
- Organization
- Location Address
- 445 S MADISON ST GREEN BAY, WI 54301
- Location Phone
- (920) 431-0962
- Location Fax
- (920) 884-1967
- Mailing Address
- 2321 SAN LUIS PL GREEN BAY, WI 54304
- Mailing Phone
- (920) 431-0962
- Mailing Fax
- (920) 884-1967
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-07-2011
- Last Update Date
- 02-06-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Taxonomy Code
- 320900000X
- Type
- Residential Treatment Facilities
- License State
- WI
- Taxonomy Description
- A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Preferred/Broad HSA (+ Incentives) - POS
- Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Heart Healthy Bronze Preferred/Broad 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) - POS
- Anthem Silver Preferred/Broad 4000 ($0 PCP Visits + $0 Select Drugs + Incentives) - POS
- Anthem Silver Preferred/Broad 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Silver Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 52D2205913
- Facility Type
- Other - COMMUNITY SUPPORTD LIVING
- Certificate Effective Date
- December 16, 2024
- Certificate Expiration Date
- December 15, 2026
- Laboratory Director
- MR. JEFF MILLER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Innovative Services, Inc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for INNOVATIVE SERVICES, INC.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1437433562, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 68 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
GREEN BAY, WI 54301
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1437433562, enumerated as an "organization" on October 07, 2011.
The provider is located at 445 S MADISON ST GREEN BAY, WI 54301 and the phone number is (920) 431-0962.
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield. Please consult your insurance carrier or call the provider to verify.
