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INNOVATIVE LIFE OF NEW JERSEY
NPI 1013886332
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Marlton, NJ

Active since November 04, 2025
480B BARTON RUN BLVD, MARLTON, NJ 08053(301) 270-4750 Get Directions Write a Review

NPPES record last updated: November 4, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Innovative Life Of New Jersey NPPES

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

INNOVATIVE LIFE OF NEW JERSEY (NPI 1013886332) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Marlton, New Jersey and active in the NPI registry since November 2025. The organization lists Shinavia Mckinney, Coo, as its authorized official.

NPPES Registry Identity

NPI1013886332
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameINNOVATIVE LIFE OF NEW JERSEY
Location Address480B BARTON RUN BLVDMarlton, NJ 08053-2734
Mailing Address480b Barton Run BlvdMarlton, NJ 08053-2734 · (301) 270-4750
Phone(301) 270-4750
Organization SubpartNo
Authorized OfficialShinavia MckinneyCoo · (301) 270-4750
Enumeration DateNovember 4, 2025
NPPES CertifiedNovember 4, 2025
✔ NPI 1013886332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

480B BARTON RUN BLVD, Marlton, NJ 08053
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Frequently Asked Questions

What is INNOVATIVE LIFE OF NEW JERSEY's NPI number?

The NPI number assigned to this healthcare provider is 1013886332, enumerated as an "organization" on November 04, 2025.

Where is the provider located?

The provider is located at 480B BARTON RUN BLVD MARLTON, NJ 08053 and the phone number is (301) 270-4750.

What is the provider's specialty?

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.