SPECTRUM FOR LIVING DEVELOPMENT, INC.
NPI 1235511718
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Hillsdale, NJ
- Organization
- Community Based Residential Treatment Fa...
About SPECTRUM FOR LIVING DEVELOPMENT, INC.
This page provides the complete NPI Profile along with additional information for Spectrum For Living Development, Inc., a provider established in Hillsdale, New Jersey operating as a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1235511718 assigned on June 2015. The practitioner's primary taxonomy code is 320900000X with license number HILLSDALE GH390 (NJ). The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is William G. Muilenburg (Cfo)
- NPI
- 1235511718 Verify this NPI
- Provider Name
- SPECTRUM FOR LIVING DEVELOPMENT, INC.
- Entity Type
- Organization
- Location Address
- 42 MAGNOLIA AVE HILLSDALE, NJ 07642
- Location Phone
- (201) 722-1530
- Mailing Address
- 210 RIVERVALE RD APT 3 RIVER VALE, NJ 07675
- Mailing Phone
- (201) 358-8000
- Mailing Fax
- (201) 358-8089
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-22-2015
- Last Update Date
- 02-28-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Taxonomy Code
- 320900000X
- Type
- Residential Treatment Facilities
- License No.
- HILLSDALE GH390
- License State
- NJ
- Taxonomy Description
- A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1235511718, enumerated as an "organization" on June 22, 2015.
The provider is located at 42 MAGNOLIA AVE HILLSDALE, NJ 07642 and the phone number is (201) 722-1530.
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.
