INNOVATIVE LIFE SOLUTIONS, INC. (NPI# 1912164500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912164500 |
| Entity Type | Organization |
| Organization Name | INNOVATIVE LIFE SOLUTIONS, INC. |
| Practice Address |
300 Hamilton St Ne Apt. T12 Washington DC 20011-6305 |
| 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 | 2008-05-21 |
| Last Update Date | 2008-05-21 |
| Authorized Official Name | MR. DAVID A CARRINGTON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3012704750 |
| Authorized Official Credential | MBA, PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DC | 038730400 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275914095 | Innovative Life Solutions, Inc. | Assisted Living Facility | 3043 Bladensburg Rd Ne, Washington, DC 20018-2233 | 2015-06-17 |
| 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 |
| 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 |
300 HAMILTON ST NE APT. T12 |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20011-6305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1356509426 | Innovative Life Solutions Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 300 Hamilton St Ne, Apt. T05, Washington, DC 20011-6305 | 2008-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851999239 | Anna Gwanyama | Licensed Practical Nurse | 6120 Kansas Avenue Northwest, Washington D.c, DC 20011 | 2020-10-16 |
| 1861005399 | Christine Jokisch | Social Worker | 33rd Riggs Rd Ne, Washington, DC 20011 | 2020-08-25 |
| 1407403645 | Allied Healthcare Group LLC | Home Health | 6120 Kansas Ave, Nw, 1st Floor, A, Washington, DC 20011 | 2019-08-22 |
| 1871146548 | Bernice Mccallum | Technician | 1336 Missouri Ave. N.w #321, Washington, DC 20011 | 2019-07-22 |
| 1114586484 | District Urgent Care Professional Corporation | Clinic/Center | 4903-b Georgia Av, Washington, DC 20011 | 2019-06-11 |
| 1053978908 | Aminata U Nabie | Licensed Practical Nurse | 6120 Kansas Ave., Nw, Washington, DC 20011 | 2019-05-28 |
| 1831656768 | Prudence Dakam Siewe | Home Health Aide | 931 Longfellow St Nw, 311, Washington, DC 20011 | 2019-02-27 |
| 1750858304 | Hilary Lauren Kulig | Counselor | 100 Galentine St. Ne, Washington, DC 20011 | 2018-10-31 |
| 1154807444 | Emebet Dessalgn Atnaw | Home Health Aide | 6040 13th Pl Nw Apt 306, Washington, DC 20011 | 2018-07-19 |
| 1881185213 | Quality One Care Home Health Inc. | Home Health | 143 Kennedy St Nw Ste 14, Washington, DC 20011 | 2018-05-22 |
| Find all providers in zip 20011 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982202271 | Berkeley House Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 817 Elder St Nw, Washington, DC 20012-2323 | 2020-10-09 |
| 1003451873 | Petra Jua | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2205 16th St Se, Washington, DC 20020-4333 | 2019-11-15 |
| 1396202511 | Umbrella Health Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2301 Georgia Ave Nw, Washington, DC 20001-3000 | 2019-02-24 |
| 1184180408 | N2 Care Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 61 Washington Square Cir, Washington, NJ 07882-2486 | 2019-02-11 |
| 1871074567 | Community Empowerment Opportunities | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 64 New York Ave Ne Ste 100, Washington, DC 20002-3400 | 2018-08-22 |
| 1760989917 | Innovative Life Solutions Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1703 Frankford St Se, Washington, DC 20020-6309 | 2018-04-12 |
| 1780196915 | Empowering Home Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 66 S St Nw, Washington, DC 20001-1128 | 2017-10-27 |
| 1942729694 | Human Development Coalition | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 313 Parkland Pl Se, Washington, DC 20032-1601 | 2017-09-13 |
| 1760900633 | The Arc, Warren County Chapter | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 21 Whites Rd, Washington, NJ 07882-3614 | 2017-08-31 |
| 1841718681 | The Arc, Warren County Chapter | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 66 Park Ave Apt G2, Washington, NJ 07882-1847 | 2017-08-31 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20011 |
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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.