OrganizationActive
Innovative Start LLC
NPI 1174076061 · Health Maintenance Organization · Gretna, LA
Provider details
- NPI number
- 1174076061
- Entity type
- Organization
- Primary specialty
- Health Maintenance OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Doris Green, Owner(504) 729-0408
Specialties & taxonomies
Managed Care Organizations
Practice location
1101 Franklin Ave
Gretna, LA 70053-2312
Phone: (504) 729-0408
Fax: (504) 361-5973
Approximate (ZIP-level) locationGet directions
Mailing address
1101 Franklin Ave
Gretna, LA 70053-2312
Registry dates
- Enumerated
- 2016-07-27
- Last updated
- 2016-07-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.