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INNOVATIVE LIFE SOLUTIONS INC NPI 1437326048


NPI Information

NPI: 1437326048
Provider Name: INNOVATIVE LIFE SOLUTIONS INC
Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
7425 8TH ST NW
WASHINGTON, DC
ZIP 20012
Phone: (301) 270-4750
Get Directions

INNOVATIVE LIFE SOLUTIONS INC is an intermediate care facility mentally retarded in Washington, DC. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. INNOVATIVE LIFE SOLUTIONS INC NPI is 1437326048. The provider is registered as an organization entity type.

The provider's business location address is:

7425 8TH ST NW
WASHINGTON, DC
ZIP 20012-811
Phone: (301) 270-4750
Fax: (301) 270-4754

The provider's authorized official is David Allen Carrington .
The authorized official title is Executive Director and has the following contact phone number (301) 270-4750.

The enumeration date for this NPI number is 5/13/2008 and was last updated on 2/13/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesHFD12-0078DISTRICT OF COLUMBIANo
2315P00000XIntermediate Care Facility, Intellectual DisabilitiesHFD03-0260DISTRICT OF COLUMBIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1038730400MEDICAIDDISTRICT OF COLUMBIA
2060560700MEDICAIDDISTRICT OF COLUMBIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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