Innovative Life Of New Jersey
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Eatontown, New Jersey
1871176826- Practice location
- 158A Eatoncrest Dr, Eatontown, NJ 07724-1261
- Phone
- 609-526-3900
- Fax
- —
- Last updated
- April 28, 2021
Innovative Life Of New Jersey is a healthcare organization based in Eatontown, NJ. Innovative Life Of New Jersey practices in Eatontown, NJ. The NPI Number for Innovative Life Of New Jersey is 1871176826. The current practice location address for Innovative Life Of New Jersey is 158A Eatoncrest Dr, Eatontown, NJ 07724-1261 and can be reached out via phone at 609-526-3900.
Provider Profile Details
- NPI Number
- 1871176826
- Provider Name
- Innovative Life Of New Jersey
- Provider Entity Type
- Organization
- Address
- 158A Eatoncrest Dr, Eatontown, NJ 07724-1261
- Phone Number
- 609-526-3900
- Primary Taxonomy
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · 320900000X
- Organization Subpart
- No
- Authorized Official
- Shinavia Mckinney · Executive Director · 301-270-4750
- Provider Enumeration Date
- April 28, 2021
- Last Update Date
- April 28, 2021
- Certification Date
- April 28, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 158A Eatoncrest Dr
Eatontown, NJ 07724-1261 - City
- Eatontown
- State
- New Jersey
- Zip
- 07724-1261
- Phone Number
- 609-526-3900
Provider Business Mailing Address Details
- Address
- 1900 Mount Holly RD Ste 600A
Burlington, NJ 08016-4722 - City
- Burlington
- State
- NJ
- Zip
- 08016-4722
- Phone Number
- 609-526-3900
- Fax Number
- 301-264-1154
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. | |||
Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers near Eatontown, NJ
View all Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Eatontown →- RefocusCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · NPI 1417419169
- Serv Achievement Centers INCCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · NPI 1093232290
- Serv Achievement Centers, INCCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · NPI 1598282790
- Serv Achievement Centers, INCCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · NPI 1144747346
- Serv Achievement Centers, INCCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · NPI 1265299713
- Serv Achievement Centers, INCCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · NPI 1639690936
Frequently Asked Questions
What is the NPI number of Innovative Life Of New Jersey?
The NPI number of Innovative Life Of New Jersey is 1871176826. It was assigned on April 28, 2021 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 158A Eatoncrest Dr, Eatontown, NJ 07724-1261. The office can be reached at 609-526-3900 (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 1871176826 directly on the NPPES registry website.