Innovative Support Services, LLC
Innovative Support Services, LLC is a healthcare organization registered as Developmentally Disabled Services Day Training Agency in Charlotte, NC, holding Type 2 (organization) NPI 1790964625 since 2007. The authorized official on file is Adriane Jackson, Executive Director.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1790964625 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Innovative Support Services, LLC |
| Practice address | 2730 OLDENWAY DR, Charlotte, NC, 28269 |
| Phone | 7048562293 |
| Fax | 7048562294 |
| Enumeration date | 2007-10-28 |
| Last updated in NPPES | 2012-07-23 |
Authorized official
| Name | Adriane Jackson |
|---|---|
| Title | Executive Director |
| Phone | 7048562293 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 251C00000X | Developmentally Disabled Services Day Training Agency | Primary | — | — |
Copy-ready billing details
Provider: Innovative Support Services, LLC NPI: 1790964625 Taxonomy: 251C00000X (Developmentally Disabled Services Day Training Agency) Address: 2730 OLDENWAY DR, Charlotte, NC, 28269
Verify this record
Cross-check NPI 1790964625 against the authoritative CMS record: view Innovative Support Services, LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Innovative Support Services, LLC?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2012-07-23.