SPECTRUM FOR LIVING DEVELOPMENT, INC. (NPI# 1134641863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134641863 |
| Entity Type | Organization |
| Organization Name | SPECTRUM FOR LIVING DEVELOPMENT, INC. |
| Practice Address |
19 Van Sciver St Apt 6 Closter NJ 07624-1200 |
| Mailing Address |
210 Rivervale Rd River Vale NJ 07675-6281 |
| Practice Telephone | 2017847962 |
| Mailing Telephone | 2013588000 |
| Mailing Fax Number | 2013588089 |
| Enumeration Date | 2017-07-14 |
| 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 | SA1889 | NJ | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 05 | 05 |
| 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 |
| 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 |
| 1023530755 | Spectrum for Living Development, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 81 Rivervale Rd Apt 3-1b, River Vale, NJ 07675-6285 | 2017-07-14 |
| Street Address |
19 VAN SCIVER ST APT 6 |
| City | CLOSTER |
| State | NJ |
| Zip Code | 07624-1200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336699321 | New Jersey Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 29 Vervalen St, Closter, NJ 07624 | 2016-10-13 |
| 1114159175 | Family Counseling Center of Closter Nj Inc. | Community/Behavioral Health | Harrington Avenue and West Street, Closter, NJ 07624 | 2009-08-10 |
| 1366654360 | Byungtae Henry Kim | Dentist | 570 Piermont Rd., Closter, NJ 07624 | 2007-05-04 |
| 1780748566 | Dennis Chintala | Chiropractor | 273 Closter Dock Rd, Closter, NJ 07624 | 2006-12-19 |
| 1578677092 | Closter Dental PC | Dentist | 570 Piermont Rd, #c1, Closter, NJ 07624 | 2006-08-19 |
| 1154330876 | Niki Shabnam Mossaded | Dentist | 539 Durie Ave, Closter, NJ 07624 | 2006-08-05 |
| 1841215407 | Great Atlantic & Pacific Tea Company Inc | Durable Medical Equipment & Medical Supplies | 400 Demarest Ave, Closter, NJ 07624 | 2006-07-13 |
| 1427662394 | Trella Blythe Dolgin | Physical Therapist | 31 Vervalen St, Closter, NJ 07624 | 2020-09-08 |
| 1003204132 | Jennifer Anne Surak-zammitti | Social Worker | 294 Harrington Ave, Closter, NJ 07624 | 2014-12-23 |
| 1629246178 | Annette Kherlopian | Pharmacist | 400 Demarest Ave, Closter, NJ 07624 | 2008-02-19 |
| Find all providers in zip 07624 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1508388273 | Spectrum for Living Development, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19 Van Sciver St Apt 1, Closter, NJ 07624-1200 | 2017-07-13 |
| 1538681200 | Spectrum for Living Development, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19 Van Sciver St Apt 3, Closter, NJ 07624-1200 | 2017-07-13 |
| 1568984235 | Spectrum for Living Development, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19 Van Sciver St Apt 7, Closter, NJ 07624-1200 | 2017-07-13 |
| 1689196370 | Spectrum for Living Development, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19 Van Sciver St Apt 8, Closter, NJ 07624-1200 | 2017-07-13 |
| 1891177390 | Spectrum for Living Development, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19 Van Sciver St, Closter, NJ 07624-1200 | 2015-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871559 | Heart To Heart Health Care Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 414 Mamie Ct, Brick, NJ 08723-6438 | 2020-11-06 |
| 1316548167 | The Arc of Cape May County, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 111 E Woodland Ave, Cape May Court House, NJ 08210-3815 | 2020-11-06 |
| 1730789447 | Community Options, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 209 Loganberry Ln, Freehold, NJ 07728-4045 | 2020-10-30 |
| 1881294858 | Youth Consultation Service Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 107 Echohill Ln, Willingboro, NJ 08046-2205 | 2020-10-29 |
| 1093314759 | Fordham-lewis Consulting, L.L.C. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 94 Ramapo Valley Rd, Mahwah, NJ 07430-1161 | 2020-10-22 |
| 1487252177 | Heart To Heart Health Care Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1476 W Terrace Cir Apt 2, Teaneck, NJ 07666-5230 | 2020-10-14 |
| 1215535422 | Community Options, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 231 Griggstown Rd, Belle Mead, NJ 08502-5204 | 2020-10-12 |
| 1003413311 | Excelsior Services Group LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 415 Main Ave, Wood Ridge, NJ 07075-2055 | 2020-10-08 |
| 1659988178 | Community Options, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19 Heather Ln, Belle Mead, NJ 08502-5125 | 2020-09-29 |
| 1598372021 | Community Options, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 838 Long Road, Gillete, NJ 07933-0854 | 2020-09-29 |
| Find all providers with the same taxonomy | ||||
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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.