INNOVATIVE LIFE SOLUTIONS, INC. (NPI# 1992058093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992058093 |
| Entity Type | Organization |
| Organization Name | INNOVATIVE LIFE SOLUTIONS, INC. |
| Practice Address |
2553 36th St Se Washington DC 20020-1215 |
| Mailing Address |
6475 New Hampshire Ave Suite 760 Hyattsville MD 20783-3269 |
| Practice Telephone | 2025830030 |
| Mailing Telephone | 3012704750 |
| Mailing Fax Number | 3012704754 |
| Enumeration Date | 2012-10-26 |
| Last Update Date | 2012-10-26 |
| Authorized Official Name | MR. DAVID ALLEN CARRINGTON (CEO) |
| Authorized Official Telephone | 3012704750 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | UNKNOWN | DC | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DC | UNKNOWN | 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 |
| 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 |
2553 36TH ST SE |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20020-1215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043834294 | Monique Holland | Community Health Worker | 3001 O Street Se, Washington, DC 20020 | 2020-06-03 |
| 1215566708 | Ryan Wright | Counselor | Integrated Behavioral Solutions Group Inc., 3200 S St. S.e., Washington, DC 20020 | 2020-04-06 |
| 1316581002 | Kamara King | Hospitalist | 2754 Bruce Pl Se, Washington, DC 20020 | 2019-11-05 |
| 1639720394 | Denise Anderson | Technician | 2401 Bryan Pl S.e, Washington, DC 20020 | 2019-09-24 |
| 1629628664 | Rayniece Ann Johnson | Technician | 1641 W.st Se #303, Washington, DC 20020 | 2019-09-11 |
| 1780245787 | Connie Kitchings | Technician | 2800 Shipley Terrace Se, Washington, DC 20020 | 2019-06-21 |
| 1922560366 | Neka Ramsey-lee | Counselor | Anacostia Community Health Center, 1500 Galen Street, Se, Washington, DC 20020 | 2019-04-04 |
| 1750843553 | Chloe Rebecca Zaitlin | Psychologist | 2600 Douglass Rd. Se, Washington, DC 20020 | 2019-04-02 |
| 1356814974 | Ferris Antwan Alston | Technician | 2100 Mlk Jr Ave S.e., Suite#100, Washington, DC 20020 | 2019-01-07 |
| 1083182471 | Aaron Joshua Jones | Technician | 1432 T Street Se, 1432 T Street Se, Washington, DC 20020 | 2018-11-05 |
| Find all providers in zip 20020 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639560980 | Innovative Life Solutions. Inc. | Intermediate Care Facility, Mentally Retarded | 5306 Eastern Ave Ne, Washington, DC 20011-2717 | 2015-02-09 |
| 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 |
| 1770843526 | Volunteers of America Chesapeake, Inc. | Intermediate Care Facility, Mentally Retarded | 431 53rd St Se, Washington, DC 20019-6171 | 2012-05-25 |
| 1184984064 | Volunteers of America Chesapeake, Inc. | Intermediate Care Facility, Mentally Retarded | 6520 1st St Nw, Washington, DC 20012-2124 | 2012-05-24 |
| 1336409218 | Volunteers of America Chesapeake, Inc. | Intermediate Care Facility, Mentally Retarded | 3020 Stanton Rd Se, Washington, DC 20020-7866 | 2012-05-24 |
| 1801156781 | Volunteers of America Chesapeake, Inc. | Intermediate Care Facility, Mentally Retarded | 1230 Congress St Se, Washington, DC 20032-4543 | 2012-05-24 |
| 1598025694 | Volunteers of America Chesapeake, Inc. | Intermediate Care Facility, Mentally Retarded | 4515 Edson Pl Ne, Washington, DC 20019-4768 | 2012-05-22 |
| 1164735817 | Progressive Habilitative Services, Inc | Intermediate Care Facility, Mentally Retarded | 6405 Chillum Pl Nw, Washington, DC 20012-2133 | 2010-07-23 |
| 1710116751 | Dc Health Care, Inc | Intermediate Care Facility, Mentally Retarded | 6703 Sandy Spring Rd Nw, Washington, DC 20012-2015 | 2009-07-13 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20020 |
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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.