Innovative Lifestyles, Inc
NPI 1730615717 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Waterford, MI
Innovative Lifestyles, Inc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility organization in Waterford, MI (NPI 1730615717).
Provider details
- NPI number
- 1730615717
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Pamela Hurley, Executive Director(248) 623-8898
- License
- AS630279392 (MI)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000XLicense AS630015466 (MI)
Residential Treatment Facilities
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility320900000XLicense AS630279392 (MI)
Residential Treatment Facilities
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility320900000XLicense AS630074810 (MI)
Residential Treatment Facilities
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility320900000XLicense AS630067389 (MI)
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
- 2017-05-11
- Last updated
- 2017-05-11
Frequently asked questions
- What is Innovative Lifestyles, Inc's NPI number?
- Innovative Lifestyles, Inc's National Provider Identifier (NPI) is 1730615717, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Innovative Lifestyles, Inc?
- Innovative Lifestyles, Inc is classified in the NPPES registry as Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (Residential Treatment Facilities).
- Where is Innovative Lifestyles, Inc located?
- Innovative Lifestyles, Inc's practice location on file with NPPES is 5490 Dixie Hwy, Waterford, MI 48329.
- What is Innovative Lifestyles, Inc's phone number?
- The practice phone number listed in the NPPES registry for Innovative Lifestyles, Inc is (248) 623-8898.
- Who is the authorized official for Innovative Lifestyles, Inc?
- The authorized official listed on Innovative Lifestyles, Inc's NPPES record is Pamela Hurley, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Innovative Lifestyles, Inc's NPI active?
- Yes — Innovative Lifestyles, Inc's NPI (1730615717) is active in the NPPES registry as of the last update on 2017-05-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.