Healthcare Provider Details
I. General information
NPI: 1841404001
Provider Name (Legal Business Name): INVISIBLE CAREGIVER INNOVATIONS,LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/09/2007
Last Update Date: 07/21/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
11636 SE 5TH ST SUITE 100
BELLEVUE WA
98005-3527
US
IV. Provider business mailing address
PO BOX 1348
BELLEVUE WA
98009-1348
US
V. Phone/Fax
- Phone: 425-283-4321
- Fax: 425-679-5239
- Phone: 425-283-4321
- Fax: 425-679-5239
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332BC3200X |
| Taxonomy | Customized Equipment (DME) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
PATRECE
BANKS
Title or Position: CEO
Credential:
Phone: 425-283-4321