SPECIAL NEEDS RESIDENCE LLC
NPI 1356977664
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Warren, NJ

Active since March 18, 2020
130 MOUNT BETHEL RD APT 205, WARREN, NJ 07059(908) 757-7000 Get Directions Write a Review

NPPES record last updated: March 18, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Community Based Residential Treatment Fa...

About SPECIAL NEEDS RESIDENCE LLC

This page provides the complete NPI Profile along with additional information for Special Needs Residence Llc, a provider established in Warren, 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 1356977664 assigned on March 2020. The practitioner's primary taxonomy code is 320900000X. 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 Deena Schaffer (Cfo)

NPI
1356977664 Verify this NPI
Provider Name
SPECIAL NEEDS RESIDENCE LLC
Entity Type
Organization
Location Address
130 MOUNT BETHEL RD APT 205 WARREN, NJ 07059
Location Phone
(908) 757-7000
Mailing Address
316 SOUTH AVE FANWOOD, NJ 07023
Mailing Phone
(908) 889-4200
Mailing Fax
(908) 889-4224
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
03-18-2020
Last Update Date
03-18-2020
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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
Taxonomy Description
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DEENA SCHAFFER

Authorized Official Title
CFO
Authorized Official Phone
(908) 889-4200

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356977664, enumerated as an "organization" on March 18, 2020.

The provider is located at 130 MOUNT BETHEL RD APT 205 WARREN, NJ 07059 and the phone number is (908) 757-7000.

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.