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

Q: What is Innovative Life Of New Jersey's NPI number?

The NPI number for Innovative Life Of New Jersey is 1013886332. It was assigned to this organization in the NPPES registry on November 4, 2025.

Q: What is Innovative Life Of New Jersey's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

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: August 09, 2026.

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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 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 Of New Jersey's NPI number?

The NPI number for Innovative Life Of New Jersey is 1013886332. It was assigned to this organization in the NPPES registry on November 4, 2025.

Where is Innovative Life Of New Jersey located?

Innovative Life Of New Jersey is located at 480B Barton Run Blvd, Marlton, NJ 08053. The listed phone number is (301) 270-4750.

What is Innovative Life Of New Jersey's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Innovative Life Of New Jersey was last updated on November 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.