Spectrum For Living Development, INC.
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Elmwood Park, New Jersey
1871975375- Practice location
- 18 17TH Ave, Elmwood Park, NJ 07407-2927
- Phone
- 201-791-8077
- Fax
- —
- Last updated
- February 28, 2020
Spectrum For Living Development, INC. is a healthcare organization based in Elmwood Park, NJ. Spectrum For Living Development, INC. practices in Elmwood Park, NJ. The NPI Number for Spectrum For Living Development, INC. is 1871975375 and holds a License No. Elmwood Park GH647 (NJ). The current practice location address for Spectrum For Living Development, INC. is 18 17TH Ave, Elmwood Park, NJ 07407-2927 and can be reached out via phone at 201-791-8077.
Provider Profile Details
- NPI Number
- 1871975375
- Provider Name
- Spectrum For Living Development, INC.
- Provider Entity Type
- Organization
- Address
- 18 17TH Ave, Elmwood Park, NJ 07407-2927
- Phone Number
- 201-791-8077
- 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 22, 2015
- Last Update Date
- February 28, 2020
- Certification Date
- February 28, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 18 17TH Ave
Elmwood Park, NJ 07407-2927 - City
- Elmwood Park
- State
- New Jersey
- Zip
- 07407-2927
- Phone Number
- 201-791-8077
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
- Elmwood Park GH647
- 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 1871975375. It was assigned on June 22, 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 Elmwood Park GH647.
Where does Spectrum For Living Development, INC. practice?
The practice location is 18 17TH Ave, Elmwood Park, NJ 07407-2927. The office can be reached at 201-791-8077 (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 1871975375 directly on the NPPES registry website.