Spectrum For Living Development, INC.
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Glen Rock, New Jersey
1528440120- Practice location
- 641 Lincoln Ave, Glen Rock, NJ 07452-2518
- Phone
- 201-447-5664
- Fax
- —
- Last updated
- February 28, 2020
Spectrum For Living Development, INC. is a healthcare organization based in Glen Rock, NJ. Spectrum For Living Development, INC. practices in Glen Rock, NJ. The NPI Number for Spectrum For Living Development, INC. is 1528440120 and holds a License No. Glen Rock GH389 (NJ). The current practice location address for Spectrum For Living Development, INC. is 641 Lincoln Ave, Glen Rock, NJ 07452-2518 and can be reached out via phone at 201-447-5664.
Provider Profile Details
- NPI Number
- 1528440120
- Provider Name
- Spectrum For Living Development, INC.
- Provider Entity Type
- Organization
- Address
- 641 Lincoln Ave, Glen Rock, NJ 07452-2518
- Phone Number
- 201-447-5664
- 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
- June 19, 2015
- Last Update Date
- February 28, 2020
- Certification Date
- February 28, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 641 Lincoln Ave
Glen Rock, NJ 07452-2518 - City
- Glen Rock
- State
- New Jersey
- Zip
- 07452-2518
- Phone Number
- 201-447-5664
Provider Business Mailing Address Details
- Address
- 210 Rivervale RD
Suite 3
Rivervale, NJ 07675-6281 - City
- Rivervale
- State
- NJ
- Zip
- 07675-6281
- Phone Number
- 201-358-8000
- Fax Number
- 201-358-1823
License Information
- License Number
- Glen Rock GH389
- 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 1528440120. It was assigned on June 19, 2015 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 Glen Rock GH389.
Where does Spectrum For Living Development, INC. practice?
The practice location is 641 Lincoln Ave, Glen Rock, NJ 07452-2518. The office can be reached at 201-447-5664 (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 1528440120 directly on the NPPES registry website.