INNOVATIVE LIFE OF NEW JERSEY
NPI 1356091722
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Brick, NJ

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

The NPI number for Innovative Life Of New Jersey is 1356091722. It was assigned to this organization in the NPPES registry on March 28, 2022.

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 March 28, 2022

175 CHAMBERS BRIDGE RD APT 143, BRICK, NJ 08723(301) 270-4750 Get Directions Write a Review

NPPES record last updated: March 28, 2022. 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 1356091722) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Brick, New Jersey and active in the NPI registry since March 2022. The organization lists Shinavia Mckinney, Coo, as its authorized official.

NPPES Registry Identity

NPI1356091722

Entity TypeOrganization

Primary Taxonomy320900000X

Legal Business NameINNOVATIVE LIFE OF NEW JERSEY

Location Address175 CHAMBERS BRIDGE RD APT 143Brick, NJ 08723-3504

Mailing Address8484 Georgia Ave Ste 900Silver Spring, MD 20910-5604 · (301) 270-4750

Phone(301) 270-4750

Organization SubpartNo

Authorized OfficialShinavia MckinneyCoo · (301) 270-4750

Enumeration DateMarch 28, 2022

NPPES CertifiedMarch 28, 2022

✔ NPI 1356091722 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.

175 CHAMBERS BRIDGE RD APT 143, Brick, NJ 08723

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FORDHAM-LEWIS CONSULTING, LLC

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

175 CHAMBERS BRIDGE RD APT 143
BRICK, NJ 08723

Ocean County (732) 232-4150

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 1356091722. It was assigned to this organization in the NPPES registry on March 28, 2022.

Where is Innovative Life Of New Jersey located?

Innovative Life Of New Jersey is located at 175 Chambers Bridge Rd Apt 143, Brick, NJ 08723. 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 March 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.