OrganizationActive
Innovative Healthcare
NPI 1629383906 · Exclusive Provider Organization · Woodbridge, CT
Provider details
- NPI number
- 1629383906
- Entity type
- Organization
- Primary specialty
- Exclusive Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Janet Berkley, Managing Member(203) 687-9502
- License
- 302F00000X (CT)
Specialties & taxonomies
Managed Care Organizations
Practice location
555 Amity Rd.
Woodbridge, CT 06525
Phone: (203) 687-9502
Fax: (203) 795-5645
Approximate (ZIP-level) locationGet directions
Mailing address
325 Boston Post Rd.
Orange, CT 06477
Registry dates
- Enumerated
- 2010-08-11
- Last updated
- 2010-08-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.