Organization
INNOVATIVE SERVICES INC
Active
Parent organization
UPSTATE NEWCO LLC
Other names
Upstate HomeCare, LUX Infusion 9
Organization subpart
Yes
Provider details
NPI number
Legal business name
UPSTATE NEWCO LLC
Authorized official
MR. EDWARD P KRAMM (CHIEF EXECUTIVE OFFICER)
(913) 515-6719
Entity
Organization
Contact information
Practice address
25 POST RD, COLONIE, NY 12205-4781
(518) 801-0510
(518) 375-2709
Mailing address
PO BOX 931769, ATLANTA, GA 31193-1769
(518) 801-0510
(518) 375-2709
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
—
—
251J00000X
Nursing Care Agency
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
333600000X
Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
039948
PHARMACY LICENSE
NY
01
—
0701L006
NYS DEPARTMENT OF HEALTH NUMBER
NY
Enumeration date
03/27/2020
Last updated
04/29/2026
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