SPECTRUM FOR LIVING DEVELOPMENT, INC.
NPI 1164944906
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Edison, NJ

Active since July 13, 2017
1317 WATERFORD DR, EDISON, NJ 08817(732) 650-0696 Get Directions Write a Review

NPPES record last updated: February 28, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 28, 2020, Jul 13, 2017 (2 updates tracked since 2017).

About Spectrum For Living Development, Inc. NPPES

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

SPECTRUM FOR LIVING DEVELOPMENT, INC. (NPI 1164944906) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Edison, New Jersey and active in the NPI registry since July 2017. The organization lists William G. Muilenburg, Cfo, as its authorized official.

NPPES Registry Identity

NPI1164944906
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameSPECTRUM FOR LIVING DEVELOPMENT, INC.
Location Address1317 WATERFORD DREdison, NJ 08817-1929
Mailing Address210 Rivervale RdRiver Vale, NJ 07675-6281 · (201) 358-8000 · Fax (201) 358-8089
Organization SubpartNo
Authorized OfficialWilliam G. MuilenburgCfo · (201) 358-8000
Enumeration DateJuly 13, 2017
Last NPPES UpdateFebruary 28, 20202 updates tracked since enumeration
NPI 1164944906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code320900000X
License Licensed in NJ · SA546
Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

1317 WATERFORD DR, Edison, NJ 08817

Other Identifiers 1

Medicaid0536521NJ

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
1317 WATERFORD DR
EDISON, NJ 08817

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 Spectrum For Living Development, Inc.'s NPI number?

The NPI number for Spectrum For Living Development, Inc. is 1164944906. It was assigned to this organization in the NPPES registry on July 13, 2017.

Where is Spectrum For Living Development, Inc. located?

Spectrum For Living Development, Inc. is located at 1317 Waterford Dr, Edison, NJ 08817. The listed phone number is (732) 650-0696.

What is Spectrum For Living Development, Inc.'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 Spectrum For Living Development, Inc. was last updated on February 28, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.