NPIMap

Organization Active NPI

Innovative Life Solutions, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Washington, DC
National Provider Identifier
1356694848
Registry record updated Oct 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
UNKNOWN Issued in DC
Legal business name
INNOVATIVE LIFE SOLUTIONS, INC.
Practice address
3112 Walnut St NE
Washington, DC 20018-4016
Phone
(202) 635-4910
Fax
(202) 635-4950
NPI assigned
Oct 21, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2012

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

Authorized official

Name
Mr. David Allen Carrington
Title
Ceo
Phone
(301) 270-4750

Specialties & licenses 1

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

Addresses

Primary practice location

3112 Walnut St NE
Washington, DC 20018-4016

Mailing address

6475 New Hampshire Ave
Suite 760
Hyattsville, MD 20783-3269
Phone (301) 270-4750

Other identifiers 1

IdentifierTypeStateIssuer
UNKNOWNMedicaidDC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Intermediate care facility for individuals with intellectual disabilities certification: CCN 09G240

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
INNOVATIVE LIFE SOLUTIONS
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Dec 21, 2012
Last certification
Dec 31, 2025
Beds
4
Ownership / control type
Private (proprietary)
Facility address
3112 Walnut Street, NE
Washington, DC 20018

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": "1350777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350777600000",
    "number": "1356694848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6475 NEW HAMPSHIRE AVE",
            "address_2": "SUITE 760",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207833269",
            "telephone_number": "301-270-4750",
            "fax_number": "301-270-4754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3112 WALNUT ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200184016",
            "telephone_number": "202-635-4910",
            "fax_number": "202-635-4950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE LIFE SOLUTIONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-21",
        "last_updated": "2012-10-21",
        "status": "A",
        "authorized_official_last_name": "CARRINGTON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "301-270-4750",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "DC",
            "license": "UNKNOWN",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "UNKNOWN",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.