INNOVATIVE LIFE OF MARYLAND NPI 1043072853

NPI Information

NPI: 1043072853
Provider Name: INNOVATIVE LIFE OF MARYLAND
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
8484 GEORGIA AVE STE 900
SILVER SPRING, MD
ZIP 20910
Phone: (301) 270-4750
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INNOVATIVE LIFE OF MARYLAND is a community based residential treatment facility, intellectual and/or developmental disabilities in Silver Spring, MD. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. INNOVATIVE LIFE OF MARYLAND NPI is 1043072853. The provider is registered as an organization entity type.

The provider's business location address is:

8484 GEORGIA AVE STE 900
SILVER SPRING, MD
ZIP 20910-604
Phone: (301) 270-4750

The provider's authorized official is Sherry King .
The authorized official title is Director Of Program Supports and has the following contact phone number (301) 270-4750.

The enumeration date for this NPI number is 1/26/2024 and was last updated on 1/26/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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