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SPECIAL NEEDS RESIDENCE LLC
NPI 1164052197
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Warren, NJ

Active since January 17, 2020
130 MOUNT BETHEL RD APT 105, WARREN, NJ 07059(908) 757-7000 Get Directions Write a Review

NPPES record last updated: January 17, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Special Needs Residence Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SPECIAL NEEDS RESIDENCE LLC (NPI 1164052197), doing business as Mt Bethel Village, is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Warren, New Jersey and active in the NPI registry since January 2020. The organization lists Deena Schaffer, Cfo, as its authorized official.

NPPES Registry Identity

NPI1164052197
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameSPECIAL NEEDS RESIDENCE LLC
Location Address130 MOUNT BETHEL RD APT 105Warren, NJ 07059-5129
Mailing Address316 South AveFanwood, NJ 07023-1325 · (908) 889-4200 · Fax (908) 889-4224
Phone(908) 757-7000
Organization SubpartYes
Authorized OfficialDeena SchafferCfo · (908) 889-4200
Enumeration DateJanuary 17, 2020
✔ NPI 1164052197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
130 MOUNT BETHEL RD APT 105, Warren, NJ 07059
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Other Names 1

Doing Business AsMt Bethel Village

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Special Needs Residence LLC's NPI number?

The NPI number for Special Needs Residence LLC is 1164052197. It was assigned to this organization in the NPPES registry on January 17, 2020. The provider is doing business as Mt Bethel Village.

Where is Special Needs Residence LLC located?

Special Needs Residence LLC is located at 130 Mount Bethel Rd Apt 105, Warren, NJ 07059. The listed phone number is (908) 757-7000.

What is Special Needs Residence LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Special Needs Residence LLC was last updated on January 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.