NPIMap

Organization Active NPI

Innovative Life Solutions, Inc

  • Intellectual Disabilities Intermediate Care Facility
  • Washington, DC
National Provider Identifier
1245010305
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
INNOVATIVE LIFE SOLUTIONS, INC
Practice address
4910 Arkansas Ave NW
Washington, DC 20011-4402
Phone
(301) 270-4750
NPI assigned
Oct 4, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Sherry King
Title
Director of Business Services
Phone
(301) 270-4750

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X Primary

Addresses

Primary practice location

4910 Arkansas Ave NW
Washington, DC 20011-4402

Mailing address

8484 Georgia Ave Ste 900
Silver Spring, MD 20910-5604
Phone (301) 270-4750

Other identifiers 1

IdentifierTypeStateIssuer
4910MedicaidDC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address billing@innovativelife.org Direct

National Provider Directory

National Provider Directory
Tax ID family
Innovative Life Solutions Inc21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

Organizations that report the same tax identification number in the National Provider Directory.

View all 20

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1696377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696377600000",
    "number": "1245010305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8484 GEORGIA AVE STE 900",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209105604",
            "telephone_number": "301-270-4750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4910 ARKANSAS AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200114402",
            "telephone_number": "301-270-4750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE LIFE SOLUTIONS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-04",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_title_or_position": "DIRECTOR OF BUSINESS SERVICES",
        "authorized_official_telephone_number": "301-270-4750",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4910",
            "state": "DC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "billing@innovativelife.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4910 Arkansas Ave NW",
            "city": "Washington",
            "state": "DC",
            "country_code": "US",
            "postal_code": "200114402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.