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INNOVATIVE LIFE OF NEW JERSEY
NPI 1679240386
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Plainsboro, NJ

Active since August 30, 2021
2409 HUNTERS GLEN DR, PLAINSBORO, NJ 08536(301) 270-4750 Get Directions Write a Review

NPPES record last updated: August 30, 2021. 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 1679240386) 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 August 2021. The organization lists Shinavia Mckinney, Coo, as its authorized official.

NPPES Registry Identity

NPI1679240386
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameINNOVATIVE LIFE OF NEW JERSEY
Location Address2409 HUNTERS GLEN DRPlainsboro, NJ 08536-3864
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 DateAugust 30, 2021
NPPES CertifiedAugust 12, 2021
✔ NPI 1679240386 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.

2409 HUNTERS GLEN DR, Plainsboro, NJ 08536
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Other Identifiers 1

Medicaid2409NJ

Other Providers at the Same Location NPPES

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

SERV ACHIEVEMENT CENTERS INC
Community/Behavioral Health
2409 HUNTERS GLEN DR
PLAINSBORO, NJ 08536
Middlesex County (609) 275-3618

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 1679240386. It was assigned to this organization in the NPPES registry on August 30, 2021.

Where is Innovative Life Of New Jersey located?

Innovative Life Of New Jersey is located at 2409 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 August 30, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.