SPECTRUM FOR LIVING DEVELOPMENT INC. NPI 1942722673

NPI Information

NPI: 1942722673
Provider Name: SPECTRUM FOR LIVING DEVELOPMENT, INC.
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
81 RIVERVALE RD APT 4-2B
RIVER VALE, NJ
ZIP 07675
Phone: (201) 722-0904
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SPECTRUM FOR LIVING DEVELOPMENT, INC. is a community based residential treatment facility, intellectual and/or developmental disabilities in River Vale, 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. SPECTRUM FOR LIVING DEVELOPMENT, INC. NPI is 1942722673. The provider is registered as an organization entity type.

The provider's business location address is:

81 RIVERVALE RD APT 4-2B
RIVER VALE, NJ
ZIP 07675-286
Phone: (201) 722-0904

The provider's authorized official is William G. Muilenburg .
The authorized official title is Cfo and has the following contact phone number (201) 358-8000.

The enumeration date for this NPI number is 7/14/2017 and was last updated on 2/28/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities		SA416	NEW JERSEY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0536521	MEDICAID	NEW JERSEY

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: 5/5/2024

NPI Synchronization or Removal

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