SPECTRUM FOR LIVING DEVELOPMENT, INC. (NPI# 1043692445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043692445 |
| Entity Type | Organization |
| Organization Name | SPECTRUM FOR LIVING DEVELOPMENT, INC. |
| Practice Address |
35 Kime Ave Wayne NJ 07470-6586 |
| Mailing Address |
210 Rivervale Rd Apt 3 River Vale NJ 07675-6281 |
| Practice Telephone | 9736281646 |
| Mailing Telephone | 2013588000 |
| Mailing Fax Number | 2013588089 |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2020-02-28 |
| Authorized Official Name | WILLIAM G. MUILENBURG (CFO) |
| Authorized Official Telephone | 2013588000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | WAYNE GH345 | NJ | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598287096 | Spectrum for Living Development, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 81 Rivervale Rd Apt 5-2b, River Vale, NJ 07675-6284 | 2017-07-17 |
| 1871015503 | Spectrum for Living Development, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 33 Piermont Rd Apt 1, Rockleigh, NJ 07647-2713 | 2017-07-14 |
| 1780106419 | Spectrum for Living Development, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 33 Piermont Rd Apt 3, Rockleigh, NJ 07647-2713 | 2017-07-14 |
| 1659893386 | Spectrum for Living Development, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 33 Piermont Rd Apt 6, Rockleigh, NJ 07647-2713 | 2017-07-14 |
| 1427570159 | Spectrum for Living Development, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 33 Piermont Rd Apt 7, Rockleigh, NJ 07647-2713 | 2017-07-14 |
| 1952823684 | Spectrum for Living Development, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19 Van Sciver St Apt 2, Closter, NJ 07624-1200 | 2017-07-14 |
| 1861914590 | Spectrum for Living Development, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19 Van Sciver St Apt 4, Closter, NJ 07624-1200 | 2017-07-14 |
| 1548782295 | Spectrum for Living Development, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19 Van Sciver St Apt 5, Closter, NJ 07624-1200 | 2017-07-14 |
| 1134641863 | Spectrum for Living Development, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19 Van Sciver St Apt 6, Closter, NJ 07624-1200 | 2017-07-14 |
| 1114449840 | Spectrum for Living Development, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 81 Rivervale Rd Apt 1-3a, River Vale, NJ 07675-6285 | 2017-07-14 |
| Street Address |
35 KIME AVE |
| City | WAYNE |
| State | NJ |
| Zip Code | 07470-6586 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669073086 | Brightview Hamburg, LLC | Alzheimer Center (Dementia Center) | 1139 Hamburg Turnpike, Wayne, NJ 07470 | 2020-11-03 |
| 1912536301 | Stevenson Dominique | Physician Assistant | 1700 Nj-23 # 170, Wayne, NJ 07470 | 2020-04-07 |
| 1710524087 | Engel Burman At Wayne, LLC | Assisted Living Facility | 1440 Hamburg Turnpike, Wayne, NJ 07470 | 2019-12-05 |
| 1508412669 | Jessie Diana Dunitz | Technician | 66 Sandra Lane, Wayne, NJ 07470 | 2019-08-14 |
| 1447737234 | Meza Behavioral Health, Inc. | Psychologist | 40 Edgemont Crescent, Wayne, NJ 07470 | 2018-07-24 |
| 1881188076 | Christine Nolan | Occupational Therapist | 1 Pike Drive, Wayne, NJ 07470 | 2018-06-20 |
| 1033612403 | County of Passaic Department of Finance | Skilled Nursing Facility | 305 Oldham Road, Wayne, NJ 07470 | 2018-03-13 |
| 1144739590 | Broadway Respite and Home Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7 Allen Drive, Wayne, NJ 07470 | 2017-09-28 |
| 1679096697 | Wafaa Saad | Counselor | 1009 Valley Rd, Wayne, NJ 07470 | 2017-07-21 |
| 1659803138 | Allison Nicole Diangelo | Nurse Practitioner | 1578 Rte 23, Wayne, NJ 07470 | 2017-04-03 |
| Find all providers in zip 07470 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376058867 | The Arc of Bergena and Passaic Counties, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9 Vernon Ct, Wayne, NJ 07470-6544 | 2017-12-06 |
| 1144739590 | Broadway Respite and Home Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7 Allen Drive, Wayne, NJ 07470 | 2017-09-28 |
| 1154830735 | The Arc of Bergen and Passaic Counties, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1105 Chatham Ct, Wayne, NJ 07470-8600 | 2017-09-26 |
| 1043729049 | The Arc of Bergen and Passaic Counties, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 350 Oldham Rd, Wayne, NJ 07470-2209 | 2017-09-22 |
| 1235509720 | Community Options, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 79 Wendt Ln, Wayne, NJ 07470-6441 | 2015-09-28 |
| 1457721953 | Community Options, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5 Scribner Pl, Wayne, NJ 07470-2637 | 2015-09-28 |
| 1811367311 | Community Options, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 163 Fayette Ave, Wayne, NJ 07470-6780 | 2015-09-28 |
| 1326418815 | Community Options, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 709 Brittany Dr, Wayne, NJ 07470-3258 | 2015-09-28 |
| 1972973469 | Community Options, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 59 Shearwater Ln, Wayne, NJ 07470-8434 | 2015-09-28 |
| 1518336817 | Community Options, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 18 Grove Pl, Wayne, NJ 07470-4008 | 2015-09-17 |
| Find all providers in WAYNE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.