{"npi":"1275914095","type":"NPI-2","status":"active","name":{"display":"Innovative Life Solutions, Inc.","other":[],"organization_name":"INNOVATIVE LIFE SOLUTIONS, INC.","authorised_official":"David Carrington"},"specialty":{"primary_taxonomy":"261QD1600X","primary_taxonomy_description":"Developmental Disabilities Clinic/Center","slug":"developmental-disabilities-clinic-center","schema_org_specialty":null,"all":[{"code":"3104A0630X","description":"Assisted Living Facility","primary":false,"state":"DC","license":"TBA"},{"code":"261QD1600X","description":"Developmental Disabilities Clinic/Center","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"3043 BLADENSBURG RD NE","city":"WASHINGTON","state":"DC","postal_code":"200182233","country_code":"US","phone":"3012704750","fax":"3012704754"},{"purpose":"MAILING","street_1":"6475 NEW HAMPSHIRE AVE","city":"HYATTSVILLE","state":"MD","postal_code":"207833269","country_code":"US","street_2":"SUITE 760","phone":"3012704750","fax":"3012704754"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"TBA","state":"DC","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2015-06-17","last_updated":"2020-10-19","_meta":{"source":"NPPES","snapshot_date":"2020-10-19","doc_url":"https://findmynpi.com/api"}}