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INNOVATIVE LIFE OF NEW JERSEY
NPI 1053191627
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Plainsboro, NJ

Active since October 02, 2023
2413 HUNTERS GLEN DR, PLAINSBORO, NJ 08536(301) 270-4750 Get Directions Write a Review

NPPES record last updated: October 2, 2023. Verified against the NPPES registry weekly; last sync: July 26, 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 1053191627) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Plainsboro, New Jersey and active in the NPI registry since October 2023. The organization lists Shinavia Mckinney, Coo, as its authorized official.

NPPES Registry Identity

NPI1053191627
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameINNOVATIVE LIFE OF NEW JERSEY
Location Address2413 HUNTERS GLEN DRPlainsboro, NJ 08536-3865
Mailing Address8484 Georgia Ave Ste 900Silver Spring, MD 20910-5604 · (202) 853-1306
Phone(301) 270-4750
Organization SubpartNo
Authorized OfficialShinavia MckinneyCoo · (301) 270-4750
Enumeration DateOctober 2, 2023
NPPES CertifiedSeptember 29, 2023
✔ NPI 1053191627 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.

2413 HUNTERS GLEN DR, Plainsboro, NJ 08536
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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 1053191627. It was assigned to this organization in the NPPES registry on October 2, 2023.

Where is Innovative Life Of New Jersey located?

Innovative Life Of New Jersey is located at 2413 Hunters Glen Dr, Plainsboro, NJ 08536. 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 October 2, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.