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COMMUNITY ACTION FOR INDEPENDENT LIVING INC. NPI 1558742940


NPI Information

NPI: 1558742940
Provider Name: COMMUNITY ACTION FOR INDEPENDENT LIVING, INC.

Former Legal Business Name: INTERSERV SERVICES, INC.

Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
162 BRYANT AVE
SPRINGFIELD, NJ
ZIP 07081
Phone: (973) 376-7604
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COMMUNITY ACTION FOR INDEPENDENT LIVING, INC. is a community based residential treatment facility, intellectual and/or developmental disabilities in Springfield, NJ. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. COMMUNITY ACTION FOR INDEPENDENT LIVING, INC. NPI is 1558742940. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Interserv Services, Inc..

The provider's business location address is:

162 BRYANT AVE
SPRINGFIELD, NJ
ZIP 07081-615
Phone: (973) 376-7604
Fax: (973) 232-5636

The provider's authorized official is Michele Difabio .
The authorized official title is Controller and has the following contact phone number (973) 564-7557.

The enumeration date for this NPI number is 6/11/2015 and was last updated on 6/11/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesGH281NEW JERSEYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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