Provider Demographics
NPI:1417849779
Name:HGS INNOVATIONS
Entity type:Organization
Organization Name:HGS INNOVATIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:
Authorized Official - Last Name:GOEDEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:763-607-1120
Mailing Address - Street 1:835 10TH ST
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:MN
Mailing Address - Zip Code:55320-4585
Mailing Address - Country:US
Mailing Address - Phone:763-607-1120
Mailing Address - Fax:
Practice Address - Street 1:270 MILKYWAY AVE W
Practice Address - Street 2:
Practice Address - City:LAKE LILLIAN
Practice Address - State:MN
Practice Address - Zip Code:56253-6000
Practice Address - Country:US
Practice Address - Phone:320-664-4848
Practice Address - Fax:320-664-4850
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-19
Last Update Date:2025-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
No251J00000XAgenciesNursing Care