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NPI Code Detail

MEDICARE: HEALTH INNOVATIONS OF AMERICA

MEDICARE: HEALTH INNOVATIONS OF AMERICA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1252Y00000XEarly Intervention Provider Agency

General Provider Information

NPI Number : 1306443437
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEALTH INNOVATIONS OF AMERICA
Provider Business Mailing Address
First Line : 2060 CENTRE POINTE BLVD STE 3
Second Line :
City : MENDOTA HEIGHTS
State : MN
Zip : 55120-1271
Country : US
Telephone Number : 866-822-7464
Fax Number :
Provider Business Practice Location Address
First Line : 2060 CENTRE POINTE BLVD STE 3
Second Line :
City : MENDOTA HEIGHTS
State : MN
Zip : 55120-1271
Country : US
Telephone Number : 866-822-7464
Fax Number :
Authorized Official
Title or Position : CEO
Name : MOHAMED AL RIYO
Credential :
Telephone Number : 866-822-7464
Provider Enumeration Date : 10/01/2020
Last Update Date : 10/01/2020

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Directions to “HEALTH INNOVATIONS OF AMERICA ” Practice Location

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