Organization
INNOVATIVE HEALTHCARE CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NITA VIJH-FAUTIER (OWNER AND CEO)
(650) 804-6268
Entity
Organization
Contact information
Practice address
746 S MAIN AVE STE B, FALLBROOK, CA 92028-3352
(760) 731-1334
(833) 790-2628
Mailing address
746 S MAIN AVE STE B, FALLBROOK, CA 92028-3352
(760) 731-1334
(833) 790-2628
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251G00000X
Community Based Hospice Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
385H00000X
Respite Care
Primary
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
374700177
HOME CARE ORGANIZATION NUMBER
CA
Enumeration date
06/19/2020
Last updated
06/19/2020
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