NPIMap

Organization Active NPI

Innovative Life Solutions, Inc

  • Intellectual Disabilities Intermediate Care Facility
  • Washington, DC
National Provider Identifier
1700913209
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
HFD03-0206 Issued in DC
Legal business name
INNOVATIVE LIFE SOLUTIONS, INC
Practice address
7416 Blair Rd NW
Washington, DC 20012-1820
Phone
(301) 270-4750
Fax
(301) 270-4754
NPI assigned
Feb 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. David Allen Carrington, PT, MBA
Title
Executive Director
Phone
(301) 270-4750

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X HFD03-0206 DC Primary

Addresses

Primary practice location

7416 Blair Rd NW
Washington, DC 20012-1820

Mailing address

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

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": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700913209",
    "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": "7416 BLAIR RD NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200121820",
            "telephone_number": "301-270-4750",
            "fax_number": "301-270-4754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE LIFE SOLUTIONS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARRINGTON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "301-270-4750",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT, MBA"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "DC",
            "license": "HFD03-0206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Aug 22, 2020; 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.