Provider Type Icon

INNOVATIVE LIFE SOLUTIONS INC. NPI 1912164500


NPI Information

NPI: 1912164500
Provider Name: INNOVATIVE LIFE SOLUTIONS, INC.
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
300 HAMILTON ST NE
APT. T12
WASHINGTON, DC
ZIP 20011
Phone: (301) 270-4750
Get Directions

INNOVATIVE LIFE SOLUTIONS, INC. is a community based residential treatment facility, intellectual and/or developmental disabilities in Washington, DC. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. INNOVATIVE LIFE SOLUTIONS, INC. NPI is 1912164500. The provider is registered as an organization entity type.

The provider's business location address is:

300 HAMILTON ST NE
APT. T12
WASHINGTON, DC
ZIP 20011-305
Phone: (301) 270-4750
Fax: (301) 270-4754

The provider's authorized official is David A 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 5/21/2008 and was last updated on 5/21/2008.


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 DisabilitiesYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.