Innovative Life of New Jersey
NPI 1629710389 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Brick, NJ
Innovative Life of New Jersey is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility organization in Brick, NJ (NPI 1629710389).
Provider details
- NPI number
- 1629710389
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Shinavia Mckinney, Coo(301) 270-4750
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-04-12
- Last updated
- 2022-04-12
- Certified
- 2022-03-28
Frequently asked questions
- What is Innovative Life of New Jersey's NPI number?
- Innovative Life of New Jersey's National Provider Identifier (NPI) is 1629710389, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Innovative Life of New Jersey?
- Innovative Life of New Jersey is classified in the NPPES registry as Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (Residential Treatment Facilities).
- Where is Innovative Life of New Jersey located?
- Innovative Life of New Jersey's practice location on file with NPPES is 175 Chambers Bridge Rd Apt 241, Brick, NJ 08723-3505.
- What is Innovative Life of New Jersey's phone number?
- The practice phone number listed in the NPPES registry for Innovative Life of New Jersey is (301) 270-4750.
- Who is the authorized official for Innovative Life of New Jersey?
- The authorized official listed on Innovative Life of New Jersey's NPPES record is Shinavia Mckinney, Coo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Innovative Life of New Jersey's NPI active?
- Yes — Innovative Life of New Jersey's NPI (1629710389) is active in the NPPES registry as of the last update on 2022-04-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.