SPECIAL NEEDS RESIDENCE LLC
NPI 1710593892
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Warren, NJ

Active since September 23, 2020
130 MOUNT BETHEL RD APT 206, WARREN, NJ 07059(908) 757-7000 Get Directions Write a Review

NPPES record last updated: September 23, 2020. Verified against the NPPES registry weekly; last sync: July 19, 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 1710593892), 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 September 2020. The organization lists Deena Schaffer, Cfo, as its authorized official.

NPPES Registry Identity

NPI1710593892
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameSPECIAL NEEDS RESIDENCE LLC
Location Address130 MOUNT BETHEL RD APT 206Warren, NJ 07059-5129
Mailing Address316 South AveFanwood, NJ 07023-1325 · (908) 889-4200
Organization SubpartYes
Authorized OfficialDeena SchafferCfo · (908) 889-4200
Enumeration DateSeptember 23, 2020
NPPES CertifiedSeptember 21, 2020
NPI 1710593892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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 206, Warren, NJ 07059

Other Names 1

Doing Business AsMt Bethel Village

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710593892, enumerated as an "organization" on September 23, 2020.

The provider is located at 130 MOUNT BETHEL RD APT 206 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.