Spectrum For Living Development, INC.
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Northvale, New Jersey
1790168334- Practice location
- 154 Chestnut St, Northvale, NJ 07647-2112
- Phone
- 201-767-7763
- Fax
- —
- Last updated
- February 28, 2020
Spectrum For Living Development, INC. is a healthcare organization based in Northvale, NJ. Spectrum For Living Development, INC. practices in Northvale, NJ. The NPI Number for Spectrum For Living Development, INC. is 1790168334 and holds a License No. GH263 (NJ). The current practice location address for Spectrum For Living Development, INC. is 154 Chestnut St, Northvale, NJ 07647-2112 and can be reached out via phone at 201-767-7763.
Provider Profile Details
- NPI Number
- 1790168334
- Provider Name
- Spectrum For Living Development, INC.
- Provider Entity Type
- Organization
- Address
- 154 Chestnut St, Northvale, NJ 07647-2112
- Phone Number
- 201-767-7763
- 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 1, 2015
- Last Update Date
- February 28, 2020
- Certification Date
- February 28, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 154 Chestnut St
Northvale, NJ 07647-2112 - City
- Northvale
- State
- New Jersey
- Zip
- 07647-2112
- Phone Number
- 201-767-7763
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
- 201-358-8089
License Information
- License Number
- GH263
- 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 1790168334. It was assigned on July 1, 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 GH263.
Where does Spectrum For Living Development, INC. practice?
The practice location is 154 Chestnut St, Northvale, NJ 07647-2112. The office can be reached at 201-767-7763 (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 1790168334 directly on the NPPES registry website.