Community Action For Independent Living, INC.
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in New Providence, New Jersey
1003297540- Practice location
- 1141 Springfield Ave, New Providence, NJ 07974-2228
- Phone
- 908-665-8576
- Fax
- 908-516-2599
- Last updated
- June 10, 2015
Community Action For Independent Living, INC. is a healthcare organization based in New Providence, NJ. Community Action For Independent Living, INC. practices in New Providence, NJ. The NPI Number for Community Action For Independent Living, INC. is 1003297540 and holds a License No. GH280 (NJ). The current practice location address for Community Action For Independent Living, INC. is 1141 Springfield Ave, New Providence, NJ 07974-2228 and can be reached out via phone at 908-665-8576 and via fax at 908-516-2599.
Provider Profile Details
- NPI Number
- 1003297540
- Provider Name
- Community Action For Independent Living, INC.
- Provider Entity Type
- Organization
- Address
- 1141 Springfield Ave, New Providence, NJ 07974-2228
- Phone Number
- 908-665-8576
- Fax Number
- 908-516-2599
- Primary Taxonomy
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · 320900000X
- Organization Subpart
- No
- Authorized Official
- Michele Difabio · Controller · 973-564-7557
- Other Names
- Interserv Services, INC. (Former Legal Business Name)
- Provider Enumeration Date
- June 10, 2015
- Last Update Date
- June 10, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1141 Springfield Ave
New Providence, NJ 07974-2228 - City
- New Providence
- State
- New Jersey
- Zip
- 07974-2228
- Phone Number
- 908-665-8576
- Fax Number
- 908-516-2599
Provider Business Mailing Address Details
- Address
- 1 Cornell Pkwy
Springfield, NJ 07081-3561 - City
- Springfield
- State
- NJ
- Zip
- 07081-3561
- Phone Number
- 973-564-7557
- Fax Number
- 973-467-4255
License Information
- License Number
- GH280
- License State
- NJ
- Taxonomy
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · 320900000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Community Action For Independent Living, INC.?
The NPI number of Community Action For Independent Living, INC. is 1003297540. It was assigned on June 10, 2015 and is currently active in the NPPES registry.
What is the specialty of Community Action For Independent Living, INC.?
Community Action For Independent Living, INC. is registered under the primary taxonomy Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (code 320900000X), licensed in NJ under license number GH280.
Where does Community Action For Independent Living, INC. practice?
The practice location is 1141 Springfield Ave, New Providence, NJ 07974-2228. The office can be reached at 908-665-8576 (phone) or 908-516-2599 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003297540 directly on the NPPES registry website.