# INNOVATIVE HOMECARE, LLC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Innovative HomeCare, LLC.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083088819
- **Authorized official:** LULA M NOLDEN-HILL (OWNER)
- **Authorized official phone:** (352) 434-1700

## Contact information

- **Practice address:** 1209 KELLOGG DR, TAVARES, FL 32778-4944
- **Practice address phone:** (352) 434-1700
- **Practice address fax:** (352) 508-9798
- **Mailing address:** 1209 KELLOGG DR, TAVARES, FL 32778-4944
- **Mailing address phone:** (352) 434-1700
- **Mailing address fax:** (352) 508-9798

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 233478 | FL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 11/17/2015
- **Last updated:** 10/31/2023