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Innovative Minds LLC — NPI 1649905274, Irvington, NJ | NPI Central

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NPI 1649905274

OrganizationActive

Innovative Minds LLC

NPI 1649905274 · Child Intellectual and/or Developmental Disabilities Respite Care · Irvington, NJ

Provider details

NPI number: 1649905274
Entity type: Organization
Primary specialty: Child Intellectual and/or Developmental Disabilities Respite CareRespite Care Facility
Organization subpart: No
Authorized official: Adebukola Adebayo, Ceo(862) 300-9408

Specialties & taxonomies

Child Intellectual and/or Developmental Disabilities Respite CarePrimary385HR2060X
Respite Care Facility
Respite Care Camp385HR2050X
Respite Care Facility
Child Mental Illness Respite Care385HR2055X
Respite Care Facility
Child Physical Disabilities Respite Care385HR2065X
Respite Care Facility

Practice location

27 Myrtle Ave Apt 2

Irvington, NJ 07111-3319

Phone: (862) 300-9408

Approximate (ZIP-level) locationGet directions

More NJ providers

Mailing address

27 Myrtle Ave Apt 2

Irvington, NJ 07111-3319

Other names (DBA / former)

Doing business as: Innovative Minds

Registry dates

Enumerated: 2022-07-18
Last updated: 2022-07-18
Certified: 2022-07-18

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.