Spectrum For Living Development, INC.
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in River Vale, New Jersey
1013439702- Practice location
- 81 Rivervale RD Apt 2-1C, River Vale, NJ 07675-6285
- Phone
- 201-722-0904
- Fax
- —
- Last updated
- February 28, 2020
Spectrum For Living Development, INC. is a healthcare organization based in River Vale, NJ. Spectrum For Living Development, INC. practices in River Vale, NJ. The NPI Number for Spectrum For Living Development, INC. is 1013439702 and holds a License No. SA555 (NJ). The current practice location address for Spectrum For Living Development, INC. is 81 Rivervale RD Apt 2-1C, River Vale, NJ 07675-6285 and can be reached out via phone at 201-722-0904.
Provider Profile Details
- NPI Number
- 1013439702
- Provider Name
- Spectrum For Living Development, INC.
- Provider Entity Type
- Organization
- Address
- 81 Rivervale RD Apt 2-1C, River Vale, NJ 07675-6285
- Phone Number
- 201-722-0904
- Primary Taxonomy
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · 320900000X
- Organization Subpart
- No
- Authorized Official
- William G. Muilenburg · Cfo · 201-358-8000
- Provider Enumeration Date
- July 13, 2017
- Last Update Date
- February 28, 2020
- Certification Date
- February 28, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 81 Rivervale RD Apt 2-1C
River Vale, NJ 07675-6285 - City
- River Vale
- State
- New Jersey
- Zip
- 07675-6285
- Phone Number
- 201-722-0904
Provider Business Mailing Address Details
- Address
- 210 Rivervale RD Apt 3
River Vale, NJ 07675-6281 - City
- River Vale
- State
- NJ
- Zip
- 07675-6281
- Phone Number
- 201-358-8000
- Fax Number
- 201-358-8089
License Information
- License Number
- SA555
- 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 Spectrum For Living Development, INC.?
The NPI number of Spectrum For Living Development, INC. is 1013439702. It was assigned on July 13, 2017 and is currently active in the NPPES registry.
What is the specialty of Spectrum For Living Development, INC.?
Spectrum For Living Development, 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 SA555.
Where does Spectrum For Living Development, INC. practice?
The practice location is 81 Rivervale RD Apt 2-1C, River Vale, NJ 07675-6285. The office can be reached at 201-722-0904 (phone).
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 1013439702 directly on the NPPES registry website.