Special Needs Residence LLC
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Warren, New Jersey
1760093637- Practice location
- 130 Mount Bethel RD Apt 109, Warren, NJ 07059-5129
- Phone
- 908-757-7000
- Fax
- —
- Last updated
- August 13, 2020
Special Needs Residence LLC is a healthcare organization based in Warren, NJ. Special Needs Residence LLC practices in Warren, NJ. The NPI Number for Special Needs Residence LLC is 1760093637. The current practice location address for Special Needs Residence LLC is 130 Mount Bethel RD Apt 109, Warren, NJ 07059-5129 and can be reached out via phone at 908-757-7000.
Provider Profile Details
- NPI Number
- 1760093637
- Provider Name
- Special Needs Residence LLC
- Provider Entity Type
- Organization
- Address
- 130 Mount Bethel RD Apt 109, Warren, NJ 07059-5129
- Phone Number
- 908-757-7000
- Primary Taxonomy
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · 320900000X
- Organization Subpart
- Yes
- Parent Organization
- Special Needs Residence LLC
- Authorized Official
- Deena Schaffer · Cfo · 908-889-4200
- Other Names
- Mt Bethel Village (Doing Business As)
- Provider Enumeration Date
- August 13, 2020
- Last Update Date
- August 13, 2020
- Certification Date
- August 13, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 130 Mount Bethel RD Apt 109
Warren, NJ 07059-5129 - City
- Warren
- State
- New Jersey
- Zip
- 07059-5129
- Phone Number
- 908-757-7000
Provider Business Mailing Address Details
- Address
- 316 South Ave
Fanwood, NJ 07023-1325 - City
- Fanwood
- State
- NJ
- Zip
- 07023-1325
- Phone Number
- 908-889-4200
- Fax Number
- 908-889-4224
License Information
- 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 Special Needs Residence LLC?
The NPI number of Special Needs Residence LLC is 1760093637. It was assigned on August 13, 2020 and is currently active in the NPPES registry.
What is the specialty of Special Needs Residence LLC?
Special Needs Residence LLC is registered under the primary taxonomy Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (code 320900000X).
Where does Special Needs Residence LLC practice?
The practice location is 130 Mount Bethel RD Apt 109, Warren, NJ 07059-5129. The office can be reached at 908-757-7000 (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 1760093637 directly on the NPPES registry website.