Community Action For Independent Living, INC.
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Newark, New Jersey
1366823619- Practice location
- 504-506 Mt. Prospect Ave, Newark, NJ 07108
- Phone
- 973-482-4490
- Fax
- 973-230-9438
- Last updated
- June 12, 2015
Community Action For Independent Living, INC. is a healthcare organization based in Newark, NJ. Community Action For Independent Living, INC. practices in Newark, NJ. The NPI Number for Community Action For Independent Living, INC. is 1366823619 and holds a License No. GH1119 (NJ). The current practice location address for Community Action For Independent Living, INC. is 504-506 Mt. Prospect Ave, Newark, NJ 07108 and can be reached out via phone at 973-482-4490 and via fax at 973-230-9438.
Provider Profile Details
- NPI Number
- 1366823619
- Provider Name
- Community Action For Independent Living, INC.
- Provider Entity Type
- Organization
- Address
- 504-506 Mt. Prospect Ave, Newark, NJ 07108
- Phone Number
- 973-482-4490
- Fax Number
- 973-230-9438
- 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 12, 2015
- Last Update Date
- June 12, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 504-506 Mt. Prospect Ave
Newark, NJ 07108 - City
- Newark
- State
- New Jersey
- Zip
- 07108
- Phone Number
- 973-482-4490
- Fax Number
- 973-230-9438
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
- GH1119
- 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 1366823619. It was assigned on June 12, 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 GH1119.
Where does Community Action For Independent Living, INC. practice?
The practice location is 504-506 Mt. Prospect Ave, Newark, NJ 07108. The office can be reached at 973-482-4490 (phone) or 973-230-9438 (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 1366823619 directly on the NPPES registry website.