OrganizationActive
Innovative Life Solutions
NPI 1215064795 · Intellectual Disabilities Intermediate Care Facility · Washington, DC
Provider details
- NPI number
- 1215064795
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Authorized official
- David Carringoton, Executive Director
- License
- HFD03-0195 (DC)
Practice location
3259 O St Se
Washington, DC 20020-2315
Phone: (301) 270-4750
Fax: (301) 270-4754
Mailing address
6475 New Hampshire Ave
Hyattsville, MD 20783-3269
Registry dates
- Enumerated
- 2007-02-28
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.