MEDICARE: HEALTHCARE INNOVATIONS PRIVATE SERVICES

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
1	251C00000X	Developmentally Disabled Services Day Training Agency
2	251J00000X	Nursing Care Agency
3	251B00000X	Case Management Agency
4	385H00000X	Respite Care
5	251E00000X	Home Health Agency	7583	OK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1326264359
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTHCARE INNOVATIONS PRIVATE SERVICES

Provider Business Mailing Address
First Line	:	3010 LYNDON B JOHNSON FWY STE 1100
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75234-2712
Country	:	US
Telephone Number	:	800-379-1600
Fax Number	:	903-537-8420

Provider Business Practice Location Address
First Line	:	7101 NW EXPRESSWAY STE 325
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73132-1594
Country	:	US
Telephone Number	:	405-943-0094
Fax Number	:

Authorized Official
Title or Position	:	COMPLIANCE,PRIVACY,& SAFETY OFFICER
Name	:	KATIE MONASTIERE
Credential	:
Telephone Number	:	517-768-4373

Provider Enumeration Date	:	04/18/2007
Last Update Date	:	12/10/2025

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