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Contact Information

INNOVATIVE SERVICE INC
3890 STATE ROUTE 5 AND 20
CANANDAIGUA, NY14424-8101
 Phone: 585-394-9200
 Fax: 585-394-1485
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nursing Care

251J00000X
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Home Infusion

251F00000X
 

Home Infusion Therapy Pharmacy

3336H0001X 58 Medical Supply Company with Pharmacist
 

Oxygen Equipment & Supplies

332BX2000X B1 Oxygen supplier
 

Parenteral & Enteral Nutrition

332BP3500X 87 All Other Suppliers
 

Prosthetic/Orthotic Supplier

335E00000X 51 Medical Supply Company with Orthotist
Indicates primary specialty

NPI Profile & details for INNOVATIVE SERVICE INC

NPI Number 1528013190
LBN Legal business name INNOVATIVE SERVICE INC
Authorized official ALYCE CROSSMAN - (VP, CIO)
Entity Organization
Organization subpart 1 No
Enumeration date 05/23/2006
Last updated 09/11/2025 - About 9 months ago
Identifiers
NY License # 023530
NY License # 07011004
NY Medicaid 00895529
NY Medicaid 01818419
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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