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INNOVATIVE SUPPORT SERVICES, LLC
NPI 1790964625
Day Training, Developmentally Disabled Services in Charlotte, NC

Active since October 28, 2007
2730 OLDENWAY DR, CHARLOTTE, NC 28269(704) 856-2293(704) 856-2294 Get Directions Write a Review

NPPES record last updated: July 23, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Innovative Support Services, Llc NPPES

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

INNOVATIVE SUPPORT SERVICES, LLC (NPI 1790964625) is a healthcare organization registered as a day training, developmentally disabled services in Charlotte, North Carolina and active in the NPI registry since October 2007. The organization lists Adriane Berry Jackson, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1790964625
Entity TypeOrganization
Primary Taxonomy251C00000X
Legal Business NameINNOVATIVE SUPPORT SERVICES, LLC
Location Address2730 OLDENWAY DRCharlotte, NC 28269-9772
Mailing AddressPo Box 560416Charlotte, NC 28256-0416 · (704) 856-2293 · Fax (704) 856-2294
Phone(704) 856-2293
Fax(704) 856-2294
Organization SubpartNo
Authorized OfficialAdriane Berry JacksonExecutive Director · (704) 856-2293
Enumeration DateOctober 28, 2007
Last NPPES UpdateJuly 23, 2012
✔ NPI 1790964625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDay Training, Developmentally Disabled ServicesAgencies
Taxonomy Code251C00000X
Definition
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.
2730 OLDENWAY DR, Charlotte, NC 28269
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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 Support Services, LLC's NPI number?

The NPI number for Innovative Support Services, LLC is 1790964625. It was assigned to this organization in the NPPES registry on October 28, 2007.

Where is Innovative Support Services, LLC located?

Innovative Support Services, LLC is located at 2730 Oldenway Dr, Charlotte, NC 28269. The listed phone number is (704) 856-2293.

What is Innovative Support Services, LLC's specialty?

The primary specialty registered for this NPI is Day Training, Developmentally Disabled Services with taxonomy code 251C00000X.

When was this NPI record last updated?

The NPPES record for Innovative Support Services, LLC was last updated on July 23, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.