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INNOVATIVE LIFE SOLUTIONS. INC. NPI 1467843714


NPI Information

NPI: 1467843714
Provider Name: INNOVATIVE LIFE SOLUTIONS. INC.
Classification: Respite Care - 385HR2060X
Entity Type: Organization

Specialization: Respite Care, Intellectual and/or Developmental Disabilities

Address:
4954 ASTOR PL SE
WASHINGTON, DC
ZIP 20019
Phone: (301) 270-4750
Get Directions

INNOVATIVE LIFE SOLUTIONS. INC. is a respite care and mental retardation and/or developmental disabilities respite care in Washington, DC. The provider is a facility or distinct part of a facility that provides short term, residential care to children, diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers. INNOVATIVE LIFE SOLUTIONS. INC. NPI is 1467843714. The provider is registered as an organization entity type.

The provider's business location address is:

4954 ASTOR PL SE
WASHINGTON, DC
ZIP 20019-251
Phone: (301) 270-4750
Fax: (301) 270-4754

The provider's authorized official is David A. Carrington .
The authorized official title is President/ceo and has the following contact phone number (301) 270-4750.

The enumeration date for this NPI number is 2/9/2015 and was last updated on 2/9/2015.


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
1385HR2060XRespite CareRespite Care, Intellectual and/or Developmental DisabilitiesDISTRICT 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

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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