INNOVATIVE LIFE SOLUTIONS, INC. (NPI# 1275914095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275914095 |
| Entity Type | Organization |
| Organization Name | INNOVATIVE LIFE SOLUTIONS, INC. |
| Practice Address |
3043 Bladensburg Rd Ne Washington DC 20018-2233 |
| Mailing Address |
6475 New Hampshire Ave Suite 760 Hyattsville MD 20783-3269 |
| Practice Telephone | 3012704750 |
| Practice Fax Number | 3012704754 |
| Mailing Telephone | 3012704750 |
| Mailing Fax Number | 3012704754 |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2020-10-19 |
| Authorized Official Name | MR. DAVID A. CARRINGTON (PRESIDENT /CEO) |
| Authorized Official Telephone | 3012704750 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3104A0630X |
Assisted Living Facility Specialization: Assisted Living, Behavioral Disturbances |
TBA | DC | Nursing & Custodial Care Facilities |
| Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DC | TBA | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992058093 | Innovative Life Solutions, Inc. | Intermediate Care Facility, Mentally Retarded | 2553 36th St Se, Washington, DC 20020-1215 | 2012-10-26 |
| 1356694848 | Innovative Life Solutions, Inc. | Intermediate Care Facility, Mentally Retarded | 3112 Walnut St Ne, Washington, DC 20018-4016 | 2012-10-21 |
| 1518228063 | Innovative Life Solutions, Inc. | Intermediate Care Facility, Mentally Retarded | 5000 E Capitol St Ne, Washington, DC 20019-5326 | 2012-05-31 |
| 1104150028 | Innovative Life Solutions, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1700 Harvard St Nw, Apt. 304, Washington, DC 20009-2967 | 2009-09-24 |
| 1912164500 | Innovative Life Solutions, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 300 Hamilton St Ne, Apt. T12, Washington, DC 20011-6305 | 2008-05-21 |
| 1801127808 | Innovative Life Solutions, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 300 Hamilton St Ne, Apt. 108, Washington, DC 20011-6305 | 2010-01-15 |
| Street Address |
3043 BLADENSBURG RD NE |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20018-2233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104438712 | Veronica Anita Rose | Technician | 3005 Bladensburg Rd Ne Apt 306, Washington, DC 20018 | 2020-08-17 |
| 1851910293 | Justina Christina Okougbo | Nurse Practitioner | 1242 12th St Ne Washington D.c., Washington, DC 20018 | 2020-04-15 |
| 1821629304 | Claire Cinque | Physical Therapy Assistant | 2601 18th Street Nw, Washington, DC 20018 | 2020-02-03 |
| 1669025474 | Chase Associates, LLC | Community/Behavioral Health | 2300 Washington Pl. Ne, Suite 423, Washington, DC 20018 | 2019-07-20 |
| 1407328446 | Howard Mabry | Psychologist | 2218 Rhode Island Avenue, Washington, DC 20018 | 2018-12-31 |
| 1760968697 | Velma Enjie Tebo | Home Health Aide | 1511 Franklin St Ne Apt 510, Washington, DC 20018 | 2018-07-13 |
| 1346744141 | Jacques Vanel Siewe Mbouwe | Home Health Aide | 3508 Commodore Joshua Barney Drive N.e, Apt #t3, Washington, DC 20018 | 2018-03-19 |
| 1376050658 | Marlena Hunt | Technician | 2504 10th St. Ne, Apt 404, Washington, DC 20018 | 2018-01-08 |
| 1245745926 | Mirabel Timben Mbah | Home Health Aide | 2010 Rhode Island Ave, 2nd Floor, North East, DC 20018 | 2017-12-04 |
| 1356855332 | St Judes Dental Clinic | Dentist | 2802 Rhode Island Ave Ne # 1, Washington, DC 20018 | 2017-11-28 |
| Find all providers in zip 20018 | ||||
| Taxonomy Code | 261QD1600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Developmental Disabilities |
| An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558999896 | Our Emmanuel Lnc | Clinic/Center | 2301 Georgia Ave Nw Ste D, Washington, DC 20001-3000 | 2020-03-31 |
| 1477015154 | Muse Day Services LLC | Clinic/Center | 7600 Georgia Ave Nw Ste 217, Washington, DC 20012-1616 | 2019-04-02 |
| 1336611011 | Khane Care Inc | Clinic/Center | 1717 N St Nw Ste 1, Washington, DC 20036-2827 | 2018-12-19 |
| 1881848356 | Pmf Care LLC | Clinic/Center | 4230 Eads St Ne, Washington, DC 20017 | 2008-11-11 |
| 1336207927 | Nursing Unlimited Services, Inc. | Clinic/Center | 1328 G St Se, Washington, DC 20003-3021 | 2006-12-05 |
| 1831725365 | Rose House LLC | Clinic/Center | 1118 Galloway St Ne, Washington, DC 20011-6424 | 2020-03-16 |
| 1154983401 | Kingsbury Wellness and Learning Group | Clinic/Center | 5000 14th St Nw, Washington, DC 20011-6926 | 2019-07-07 |
| 1205496270 | Connecting With Communities | Clinic/Center | 2636 Wade Rd Se Apt 11, Washington, DC 20020-5906 | 2019-06-20 |
| 1508070251 | Psi Services IIi, Inc | Clinic/Center | 5820 Dix St Ne, Washington, DC 20019-6965 | 2007-05-10 |
| 1013044668 | Brookland Senior Day Care Center, Inc. | Clinic/Center | 6210 Chillum Pl Nw, Washington, DC 20011-1400 | 2007-02-28 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20018 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.