INNOVATIVE LIFE SOLUTIONS, INC
NPI 1013797174
Intermediate Care Facility, Intellectual Disabilities in Washington, DC

Active since October 04, 2023CLIA Certified · 2 labs
5706 14TH ST NW, WASHINGTON, DC 20011(301) 270-4750 Get Directions Write a Review

NPPES record last updated: October 4, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Innovative Life Solutions, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INNOVATIVE LIFE SOLUTIONS, INC (NPI 1013797174) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Washington, District Of Columbia and active in the NPI registry since October 2023. The organization holds 2 active CLIA laboratory certificates and lists Sherry King, Director Of Business Services, as its authorized official.

NPPES Registry Identity

NPI1013797174
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameINNOVATIVE LIFE SOLUTIONS, INC
Location Address5706 14TH ST NWWashington, DC 20011-6808
Mailing Address8484 Georgia Ave Ste 900Silver Spring, MD 20910-5604 · (301) 270-4750
Organization SubpartNo
Authorized OfficialSherry KingDirector Of Business Services · (301) 270-4750
Enumeration DateOctober 4, 2023
NPPES CertifiedOctober 4, 2023
NPI 1013797174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
5706 14TH ST NW, Washington, DC 20011

Other Identifiers 1

Medicaid5706DC

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 09D1089654

Innovative Life Solution Inc · Washington, DC
Active · expires Mar 26, 2028
CLIA Number09D1089654
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateMarch 27, 2026
Certificate Expiration DateMarch 26, 2028
Laboratory DirectorBola A. Akinrebiyo
Laboratory Phone(301) 270-4750
Laboratory LocationInnovative Life Solution Inc114 Division Avenue NE, Washington, DC 20019
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 09D2025308

Innovative Life Solutions · Washington, DC
Active · expires Jun 5, 2027
CLIA Number09D2025308
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateJune 6, 2025
Certificate Expiration DateJune 5, 2027
Laboratory DirectorMs. Mercy Faturoti
Laboratory Phone(301) 270-4750
Laboratory LocationInnovative Life Solutions3043 Bladensburg Rd NE, Washington, DC 20018
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Innovative Life Solutions, Inc's NPI number?

The NPI number for Innovative Life Solutions, Inc is 1013797174. It was assigned to this organization in the NPPES registry on October 4, 2023.

Where is Innovative Life Solutions, Inc located?

Innovative Life Solutions, Inc is located at 5706 14th St NW, Washington, DC 20011. The listed phone number is (301) 270-4750.

What is Innovative Life Solutions, Inc's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

Does Innovative Life Solutions, Inc hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Innovative Life Solutions, Inc was last updated on October 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.