Organization
HEALTHIV LLC
Active
Parent organization
INNOVATIVE HEALTH CORP
Other names
VASA HEALTH WELLNESS
Organization subpart
Yes
Provider details
NPI number
Legal business name
INNOVATIVE HEALTH CORP
Authorized official
IQRA KHAN (MANAGER)
(862) 228-5704
Entity
Organization
Contact information
Practice address
1116 US HIGHWAY 46, PARSIPPANY, NJ 07054-2100
(862) 228-5704
(973) 860-4853
Mailing address
1116 US HIGHWAY 46, PARSIPPANY, NJ 07054-2100
(862) 228-5704
(973) 860-4853
Taxonomy
Speciality
Code
Description
License number
State
103TP2701X
Group Psychotherapy Psychologist
—
—
251B00000X
Case Management Agency
—
—
251F00000X
Home Infusion Agency
—
—
261QF0050X
Non-Surgical Family Planning Clinic/Center
—
—
261QI0500X
Infusion Therapy Clinic/Center
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
09/07/2022
Last updated
09/07/2022
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