1. Home
  2. Directory
  3. Wisconsin
  4. Green Bay
  5. Community Based Residential Treatment Facility Intellectual And Or Developmental Disabilities
  6. NPI Profile

INNOVATIVE SERVICES, INC.
NPI 1437433562
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Green Bay, WI

Active since October 07, 2011CLIA Certified · 2 labs
445 S MADISON ST, GREEN BAY, WI 54301(920) 431-0962(920) 884-1967 Get Directions Write a Review

NPPES record last updated: February 6, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Innovative Services, Inc. NPPES

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

INNOVATIVE SERVICES, INC. (NPI 1437433562) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Green Bay, Wisconsin and active in the NPI registry since October 2011. The organization holds 2 active CLIA laboratory certificates and lists Kerry Blondheim, Vice President Of Administration, as its authorized official.

NPPES Registry Identity

NPI1437433562
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameINNOVATIVE SERVICES, INC.
Location Address445 S MADISON STGreen Bay, WI 54301-4126
Mailing Address2321 San Luis PlGreen Bay, WI 54304-5211 · (920) 431-0962 · Fax (920) 431-7184
Phone(920) 431-0962
Fax(920) 884-1967
Organization SubpartNo
Authorized OfficialKerry BlondheimVice President Of Administration · (920) 431-0962
Enumeration DateOctober 7, 2011
Last NPPES UpdateFebruary 6, 2023
NPPES CertifiedFebruary 6, 2023
✔ NPI 1437433562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
445 S MADISON ST, Green Bay, WI 54301
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 52D2205913

Innovative Services Inc · Green Bay, WI
Active · expires Dec 15, 2026
CLIA Number52D2205913
Laboratory TypeCommunity Supportd Living
Certificate Effective DateDecember 16, 2024
Certificate Expiration DateDecember 15, 2026
Laboratory DirectorMr. Jeff Miller
Laboratory Phone(920) 431-0962
Laboratory LocationInnovative Services Inc2321 San Luis Pl, Green Bay, WI 54304
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 52D1032148

Innovative Services, Inc · Green Bay, WI
Active · expires Oct 17, 2026
CLIA Number52D1032148
Laboratory TypeAssisted Living Facility
Certificate Effective DateOctober 18, 2024
Certificate Expiration DateOctober 17, 2026
Laboratory DirectorMr. Jeff Miller
Laboratory Phone(920) 431-0962
Laboratory LocationInnovative Services, Inc1311 N Danz Ave, Green Bay, WI 54302
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MY INNOVATIVE SERVICES
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
445 S MADISON ST
GREEN BAY, WI 54301
Brown County (920) 431-0962
INNOVATIVE WISCONSIN, LLC
Community/Behavioral Health
445 S MADISON ST
GREEN BAY, WI 54301
Brown County (920) 431-0962

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 Services, Inc.'s NPI number?

The NPI number for Innovative Services, Inc. is 1437433562. It was assigned to this organization in the NPPES registry on October 7, 2011.

Where is Innovative Services, Inc. located?

Innovative Services, Inc. is located at 445 S Madison St, Green Bay, WI 54301. The listed phone number is (920) 431-0962.

What is Innovative Services, Inc.'s specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

Does Innovative Services, Inc. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Innovative Services, Inc. accept?

Health plans from Anthem Blue Cross and Blue Shield list Innovative Services, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Innovative Services, Inc. was last updated on February 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.