Active NPIOrganization

Community Action For Independent Living, INC.

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

NPI Number1992186449
Practice location
34 S Centre St, South Orange, NJ 07079-2608
Fax
973-821-5497
Last updated
June 10, 2015

Community Action For Independent Living, INC. is a healthcare organization based in South Orange, NJ. Community Action For Independent Living, INC. practices in South Orange, NJ. The NPI Number for Community Action For Independent Living, INC. is 1992186449 and holds a License No. GH201 (NJ). The current practice location address for Community Action For Independent Living, INC. is 34 S Centre St, South Orange, NJ 07079-2608 and can be reached out via phone at 973-763-7248 and via fax at 973-821-5497.

Provider Profile Details

NPI Number
1992186449
Provider Name
Community Action For Independent Living, INC.
Provider Entity Type
Organization
Address
34 S Centre St, South Orange, NJ 07079-2608
Phone Number
973-763-7248
Fax Number
973-821-5497
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
34 S Centre St
South Orange, NJ 07079-2608
Zip
07079-2608
Phone Number
973-763-7248
Fax Number
973-821-5497
South Orange, NJ 07079Get 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
GH201
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 1992186449. 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 GH201.

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

The practice location is 34 S Centre St, South Orange, NJ 07079-2608. The office can be reached at 973-763-7248 (phone) or 973-821-5497 (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 1992186449 directly on the NPPES registry website.

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