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INNOVATIVE LIFE OF NEW JERSEY
NPI 1942179288
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Marlton, NJ

Active since November 04, 2025
406A BARTON RUN BLVD, MARLTON, NJ 08053(301) 270-4750(301) 270-4750 Get Directions Write a Review

NPPES record last updated: March 10, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 10, 2026, Nov 4, 2025 (2 updates tracked since 2025).

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Frequently Asked Questions
  • Organization
  • Community Based Residential Treatment Fa...

About INNOVATIVE LIFE OF NEW JERSEY

This page provides the complete NPI Profile along with additional information for Innovative Life Of New Jersey, a provider established in Marlton, New Jersey operating as a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1942179288 assigned on November 2025. The practitioner's primary taxonomy code is 320900000X. The provider is registered as an organization and their NPI record was last updated March 2026. The authorized official of this NPI record is Shinavia Mckinney (Coo)

NPI
1942179288 Verify this NPI
Provider Name
INNOVATIVE LIFE OF NEW JERSEY
Entity Type
Organization
Location Address
406A BARTON RUN BLVD MARLTON, NJ 08053
Location Phone
(301) 270-4750
Location Fax
(301) 270-4750
Mailing Address
8484 GEORGIA AVE STE 900 SILVER SPRING, MD 20910
Mailing Phone
(301) 270-4750
Mailing Fax
(301) 270-4750
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-04-2025
Last Update Date
03-10-2026
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

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

Taxonomy Code
320900000X
Type
Residential Treatment Facilities
Taxonomy Description
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SHINAVIA MCKINNEY

Authorized Official Title
COO
Authorized Official Phone
(301) 270-4750

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Frequently Asked Questions

What is INNOVATIVE LIFE OF NEW JERSEY's NPI number?

The NPI number assigned to this healthcare provider is 1942179288, enumerated as an "organization" on November 04, 2025.

Where is the provider located?

The provider is located at 406A BARTON RUN BLVD MARLTON, NJ 08053 and the phone number is (301) 270-4750.

What is the provider's specialty?

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.