Innovative Day, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

INNOVATIVE DAY, LLC

Practice address

6135 Kansas Ave NE
Washington, DC 20011-1505

Phone

(202) 269-3853

Fax

(202) 269-3854

NPI assigned

Mar 20, 2018

Last updated

Jan 10, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Bonita F. Bullock

Title

Business Manager

Phone

(301) 270-4750

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1521504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547078400000",
    "number": "1760986210",
    "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": "6135 KANSAS AVE NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200111505",
            "telephone_number": "202-269-3853",
            "fax_number": "202-269-3854"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6207 Blair Road, NW",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200111448",
            "country_code": "US",
            "telephone_number": "202-269-3853",
            "fax_number": "202-269-3854",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INNOVATIVE DAY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-20",
        "last_updated": "2019-01-10",
        "status": "A",
        "authorized_official_last_name": "BULLOCK",
        "authorized_official_first_name": "BONITA",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "301-270-4750",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Washington, DC
• Providers in Washington, DC by specialty
• Community/Behavioral Health Agency in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2019; 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.