Innovative Life Of New Jersey
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Marlton, New Jersey
1942179288- Practice location
- 406A Barton Run Blvd, Marlton, NJ 08053-2730
- Phone
- 301-270-4750
- Fax
- 301-270-4750
- Last updated
- March 10, 2026
Innovative Life Of New Jersey is a healthcare organization based in Marlton, NJ. Innovative Life Of New Jersey practices in Marlton, NJ. The NPI Number for Innovative Life Of New Jersey is 1942179288. The current practice location address for Innovative Life Of New Jersey is 406A Barton Run Blvd, Marlton, NJ 08053-2730 and can be reached out via phone at 301-270-4750 and via fax at 301-270-4750.
Provider Profile Details
- NPI Number
- 1942179288
- Provider Name
- Innovative Life Of New Jersey
- Provider Entity Type
- Organization
- Address
- 406A Barton Run Blvd, Marlton, NJ 08053-2730
- Phone Number
- 301-270-4750
- Fax 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
- November 4, 2025
- Last Update Date
- March 10, 2026
- Certification Date
- March 10, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 406A Barton Run Blvd
Marlton, NJ 08053-2730 - City
- Marlton
- State
- New Jersey
- Zip
- 08053-2730
- Phone Number
- 301-270-4750
- Fax 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
- 301-270-4750
- Fax Number
- 301-270-4750
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 1942179288. It was assigned on November 4, 2025 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 406A Barton Run Blvd, Marlton, NJ 08053-2730. The office can be reached at 301-270-4750 (phone) or 301-270-4750 (fax).
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 1942179288 directly on the NPPES registry website.