Innovative Life Of New Jersey
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Plainsboro, New Jersey
1053191627- Practice location
- 2413 Hunters Glen Dr, Plainsboro, NJ 08536-3865
- Phone
- 301-270-4750
- Fax
- —
- Last updated
- October 2, 2023
Innovative Life Of New Jersey is a healthcare organization based in Plainsboro, NJ. Innovative Life Of New Jersey practices in Plainsboro, NJ. The NPI Number for Innovative Life Of New Jersey is 1053191627. The current practice location address for Innovative Life Of New Jersey is 2413 Hunters Glen Dr, Plainsboro, NJ 08536-3865 and can be reached out via phone at 301-270-4750.
Provider Profile Details
- NPI Number
- 1053191627
- Provider Name
- Innovative Life Of New Jersey
- Provider Entity Type
- Organization
- Address
- 2413 Hunters Glen Dr, Plainsboro, NJ 08536-3865
- Phone Number
- 301-270-4750
- Primary Taxonomy
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · 320900000X
- Organization Subpart
- No
- Authorized Official
- Shinavia Mckinney · Coo · 301-270-4750
- Provider Enumeration Date
- October 2, 2023
- Last Update Date
- October 2, 2023
- Certification Date
- September 29, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2413 Hunters Glen Dr
Plainsboro, NJ 08536-3865 - City
- Plainsboro
- State
- New Jersey
- Zip
- 08536-3865
- Phone Number
- 301-270-4750
Provider Business Mailing Address Details
- Address
- 8484 Georgia Ave Ste 900
Silver Spring, MD 20910-5604 - City
- Silver Spring
- State
- MD
- Zip
- 20910-5604
- Phone Number
- 202-853-1306
License Information
- Taxonomy
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · 320900000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Innovative Life Of New Jersey?
The NPI number of Innovative Life Of New Jersey is 1053191627. It was assigned on October 2, 2023 and is currently active in the NPPES registry.
What is the specialty of Innovative Life Of New Jersey?
Innovative Life Of New Jersey is registered under the primary taxonomy Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (code 320900000X).
Where does Innovative Life Of New Jersey practice?
The practice location is 2413 Hunters Glen Dr, Plainsboro, NJ 08536-3865. The office can be reached at 301-270-4750 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053191627 directly on the NPPES registry website.