INNOVATIVE LIFE OF NEW JERSEY
NPI 1730854928
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Willingboro, NJ

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

The NPI number for Innovative Life Of New Jersey is 1730854928. It was assigned to this organization in the NPPES registry on August 10, 2021.

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 August 10, 2021

1 E RIVER DR, WILLINGBORO, NJ 08046(301) 270-4750 Get Directions Write a Review

NPPES record last updated: August 10, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

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 1730854928) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Willingboro, New Jersey and active in the NPI registry since August 2021. The organization lists Shinavia Mckinney, Coo, as its authorized official.

NPPES Registry Identity

NPI1730854928

Entity TypeOrganization

Primary Taxonomy320900000X

Legal Business NameINNOVATIVE LIFE OF NEW JERSEY

Location Address1 E RIVER DRWillingboro, NJ 08046-2315

Mailing Address8484 Georgia Ave Ste 900Silver Spring, MD 20910-5604

Phone(301) 270-4750

Organization SubpartNo

Authorized OfficialShinavia MckinneyCoo · (301) 270-4750

Enumeration DateAugust 10, 2021

NPPES CertifiedAugust 10, 2021

✔ NPI 1730854928 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.

1 E RIVER DR, Willingboro, NJ 08046

Open in Google Maps ↗

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 1730854928. It was assigned to this organization in the NPPES registry on August 10, 2021.

Where is Innovative Life Of New Jersey located?

Innovative Life Of New Jersey is located at 1 E River Dr, Willingboro, NJ 08046. 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 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.