Healthcare Provider Details

I. General information

NPI: 1780211789
Provider Name (Legal Business Name): INNOVATIVE SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2020
Last Update Date: 08/30/2026
Certification Date: 08/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 POST RD STE 5
COLONIE NY
12205-6751
US

IV. Provider business mailing address

855 SW 78TH AVE # C200
PLANTATION FL
33324-3223
US

V. Phone/Fax

Practice location:
  • Phone: 518-801-0510
  • Fax: 518-375-2709
Mailing address:
  • Phone: 954-385-7322
  • Fax: 954-385-7324

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MR. EDWARD P KRAMM
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 913-515-6719