Active NPIOrganization

Community Action For Independent Living, INC.

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Maplewood, New Jersey

NPI Number1699156158
Practice location
49 Union Ave, Maplewood, NJ 07040-1515
Fax
973-327-2639
Last updated
June 10, 2015

Community Action For Independent Living, INC. is a healthcare organization based in Maplewood, NJ. Community Action For Independent Living, INC. practices in Maplewood, NJ. The NPI Number for Community Action For Independent Living, INC. is 1699156158 and holds a License No. GH190 (NJ). The current practice location address for Community Action For Independent Living, INC. is 49 Union Ave, Maplewood, NJ 07040-1515 and can be reached out via phone at 973-763-7556 and via fax at 973-327-2639.

Provider Profile Details

NPI Number
1699156158
Provider Name
Community Action For Independent Living, INC.
Provider Entity Type
Organization
Address
49 Union Ave, Maplewood, NJ 07040-1515
Phone Number
973-763-7556
Fax Number
973-327-2639
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
49 Union Ave
Maplewood, NJ 07040-1515
Zip
07040-1515
Phone Number
973-763-7556
Fax Number
973-327-2639
Maplewood, NJ 07040Get directions →

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
GH190
License State
NJ

Legacy Identifiers

IdentifierTypeStateIssuer
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 1699156158. 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 GH190.

Where does Community Action For Independent Living, INC. practice?

The practice location is 49 Union Ave, Maplewood, NJ 07040-1515. The office can be reached at 973-763-7556 (phone) or 973-327-2639 (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 1699156158 directly on the NPPES registry website.

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