INNOVATIVE CONCEPTS, INC. (NPI# 1942695895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942695895 |
| Entity Type | Organization |
| Organization Name | INNOVATIVE CONCEPTS, INC. |
| Practice Address |
1325 G St Nw Suite 500 Washington DC 20005-3104 |
| Mailing Address |
8639b 16th St Suite D Silver Spring MD 20910-2273 |
| Practice Telephone | 3014407908 |
| Mailing Telephone | 3014407908 |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2020-10-15 |
| Authorized Official Name | MR. MICHAEL LAWRENCE SLAUGHTER JR. (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3014407908 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320800000X | Community Based Residential Treatment Facility, Mental Illness | ========= | MD | Residential Treatment Facilities |
| Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | INNOVATIVE CONCEPTS, INC. | 30640 Pacific Hwy S Ste E, Federal Way, WA 98003 |
| Connecticut Business Registrations | INNOVATIVE CONCEPTS, INC. | 1658 Ponus Ridge Road, New Canaan, CT 06840 |
| Street Address |
1325 G ST NW SUITE 500 |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20005-3104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063546638 | Alleesha Monique Kirk | Counselor | 1325 G St Nw, Suite 500, Washington, DC 20005 | 2007-03-15 |
| 1609264860 | Antoinette Alberta Barnes | Social Worker | 1325 G St Nw, Washington, DC 20005-3104 | 2014-12-22 |
| 1528262276 | Marie Rodriguez | Naturopath | 1325 G St Nw, Ste. 500, Washington, DC 20005-3104 | 2007-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568062842 | Nikki Taylor Talarico | Counselor | 601 13th St Sw, Suite 900, Washington, DC 20005 | 2020-10-27 |
| 1962028019 | Care for All Home Services, LLC | Case Management | 1402 N St Nw, Ste# 102, Washington, DC 20005 | 2020-06-24 |
| 1639704398 | Hazel Ware | Behavior Technician | 1200 G Street Nw, Suite 800, Washington, DC 20005 | 2020-03-03 |
| 1528692126 | Candace Wyman | Behavior Technician | 1200 G Street Nw, St, 800, Washington, DC 20005 | 2020-02-24 |
| 1336773936 | Janice Arana | Behavior Technician | 1200 G Street Nw, Ste 800, Washington, DC 20005 | 2020-02-24 |
| 1437796745 | Tinaisha Artis | Behavioral Analyst | 1100 H Street Nw, Suite 640, Washington,dc, DC 20005 | 2019-12-05 |
| 1255972212 | Viviane None Tankeu Djoteng | Home Health Aide | 1010 Vermont Street Suite 1003, Washington, DC 20005 | 2019-10-01 |
| 1891349353 | Natenael Teshome Jenfessa | Registered Nurse | 1504 Kingman Pl Nw, Washington, DC 20005 | 2019-08-01 |
| 1962963280 | Manual Medicine Spine and Sports Physical Therapy | Clinic/Center | 1015 15th St Nw, Ste 614k, Washington, DC 20005 | 2019-03-28 |
| 1245713726 | Erica Featherson | Psychologist | 601 13th St Nw, Washington, DC 20005 | 2018-09-11 |
| Find all providers in zip 20005 | ||||
| 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 | 20005 |
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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.