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VIVION LARRY BAMBARA
NPI 1649857186
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Lindenwold, NJ

Active since March 29, 2021
101 E GIBBSBORO RD APT 1611, LINDENWOLD, NJ 08021(346) 262-7732 Get Directions Write a Review

NPPES record last updated: January 1, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 1, 2022, Sep 6, 2021, Aug 25, 2021 and 1 more (4 updates tracked since 2021).

About Vivion Larry Bambara NPPES

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

VIVION LARRY BAMBARA (NPI 1649857186) is an individual community based residential treatment facility, intellectual and/or developmental disabilities provider in Lindenwold, New Jersey and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1649857186
Entity TypeIndividualMale
Primary Taxonomy320900000X
Provider Legal NameVIVION LARRY BAMBARA
Location Address101 E GIBBSBORO RD APT 1611Lindenwold, NJ 08021-1923
Mailing Address101 E Gibbsboro Rd Apt 1611Lindenwold, NJ 08021-1923 · (346) 262-7732
Phone(346) 262-7732
Sole ProprietorYes
Enumeration DateMarch 29, 2021
Last NPPES UpdateJanuary 1, 20224 updates tracked since enumeration
NPPES CertifiedSeptember 6, 2021
✔ NPI 1649857186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.
Also ListedDay Training, Developmentally Disabled ServicesTaxonomy 251C00000X
Also ListedClinic/Center · Adult Day CareTaxonomy 261QA0600X
101 E GIBBSBORO RD APT 1611, Lindenwold, NJ 08021
Open in Google Maps ↗

Other Identifiers 1

Medicaid1649857186NJ

Other Providers at the Same Location NPPES

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

VEE HOME CARE SERVICES, LLC
Case Management
101 E GIBBSBORO RD APT 1611
LINDENWOLD, NJ 08021
Camden County (763) 221-8274

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 Vivion Bambara's NPI number?

The NPI number for Vivion Bambara is 1649857186. It was assigned to this individual provider in the NPPES registry on March 29, 2021.

Where is Vivion Bambara located?

Vivion Bambara practices at 101 E Gibbsboro Rd Apt 1611, Lindenwold, NJ 08021. The listed phone number is (346) 262-7732.

What is Vivion Bambara'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 Vivion Bambara was last updated on January 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.