INNOVATIVE LIFESTYLES, INC
NPI 1730615717
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Waterford, MI

Q: What is Innovative Lifestyles, Inc's NPI number?

The NPI number for Innovative Lifestyles, Inc is 1730615717. It was assigned to this organization in the NPPES registry on May 11, 2017.

Q: What is Innovative Lifestyles, Inc'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 May 11, 2017

5490 DIXIE HWY, SUITE 1, WATERFORD, MI 48329(248) 623-8898(248) 623-8899 Get Directions Write a Review

NPPES record last updated: May 11, 2017. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Innovative Lifestyles, Inc NPPES

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

INNOVATIVE LIFESTYLES, INC (NPI 1730615717) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Waterford, Michigan and active in the NPI registry since May 2017. The organization lists Pamela Travis Hurley, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1730615717

Entity TypeOrganization

Primary Taxonomy320900000X

Legal Business NameINNOVATIVE LIFESTYLES, INC

Location Address5490 DIXIE HWY, SUITE 1Waterford, MI 48329

Mailing AddressPo Box 1258Clarkston, MI 48347 · (248) 623-8898 · Fax (248) 623-8899

Phone(248) 623-8898

Fax(248) 623-8899

Organization SubpartNo

Authorized OfficialPamela Travis HurleyExecutive Director · (248) 623-8898

Enumeration DateMay 11, 2017

✔ NPI 1730615717 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

Licenses✔ Licensed in MI · AS630015466✔ Licensed in MI · AS630279392✔ Licensed in MI · AS630074810✔ Licensed in MI · AS630067389✔ Licensed in MI · AS630279393✔ Licensed in MI · AS630012660

Definition

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

5490 DIXIE HWY, Waterford, MI 48329

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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 Lifestyles, Inc's NPI number?

The NPI number for Innovative Lifestyles, Inc is 1730615717. It was assigned to this organization in the NPPES registry on May 11, 2017.

Where is Innovative Lifestyles, Inc located?

Innovative Lifestyles, Inc is located at 5490 Dixie Hwy Suite 1, Waterford, MI 48329. The listed phone number is (248) 623-8898.

What is Innovative Lifestyles, Inc'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 Lifestyles, Inc was last updated on May 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.