SPECTRUM FOR LIVING DEVELOPMENT, INC. (NPI# 1427431071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427431071 |
| Entity Type | Organization |
| Organization Name | SPECTRUM FOR LIVING DEVELOPMENT, INC. |
| Practice Address |
343 Highwood Ave Glen Rock NJ 07452-1438 |
| Mailing Address |
210 Rivervale Rd Apt 3 River Vale NJ 07675-6281 |
| Practice Telephone | 2012512466 |
| Mailing Telephone | 2013588000 |
| Mailing Fax Number | 2013588089 |
| Enumeration Date | 2015-07-01 |
| 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 | HIGHWOOD GH646 | 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 |
343 HIGHWOOD AVE |
| City | GLEN ROCK |
| State | NJ |
| Zip Code | 07452-1438 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326566134 | Silverio Joseph Bumanlag | Physical Therapist | 251 Rock Road, Suite 2c, Glen Rock, NJ 07452 | 2017-08-31 |
| 1073030953 | Erin Leigh Leonard | Pediatrics | 37 Emerson Road, Glen Rock, NJ 07452 | 2017-08-23 |
| 1306389457 | Rock Physical Therapy & Sports Rehabilitation Inc | Clinic/Center | 251 Rock Rd Ste 2e, Glen Rock, NJ 07452 | 2016-11-22 |
| 1003215336 | Amanda Rose Peraino | Specialist | 17 Stonefield Road, Glen Rock, NJ 07452 | 2014-08-22 |
| 1083030225 | Kristopher D Paik | Dentist | Ridgewood Oral Surgery & Implant Center, 385 S. Maple Ave Ste 207, Glen Rock, NJ 07452 | 2014-03-12 |
| 1497016158 | Patricia A. Woods | Counselor | 849 Lincoln Avenue, Glen Rock, NJ 07452 | 2012-05-30 |
| 1114284239 | Eileen Kringle Mc Auley | Physical Therapist | 522 Broad Street, Glen Rock, NJ 07452 | 2012-04-13 |
| 1467748301 | Sujal P Patel | Orthopaedic Surgery | 85 Harristown Rd Ste 103, Glen Rock, NJ 07452 | 2011-06-20 |
| 1649426479 | Adam Avitabile | Physician Assistant | 208 Harristown Rd # Ll-2, Glen Rock, NJ 07452 | 2008-08-12 |
| 1427219914 | John Koerner | Orthopaedic Surgery | 266 Harristown Road, Suite 100, Glen Rock, NJ 07452 | 2008-06-18 |
| Find all providers in zip 07452 | ||||
| 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 |
|---|---|---|---|---|
| 1639722945 | Reed Next, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 15 Bradford St, Glen Rock, NJ 07452-2101 | 2019-07-17 |
| 1528440120 | Spectrum for Living Development, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 641 Lincoln Ave, Glen Rock, NJ 07452-2518 | 2015-06-19 |
| 1003297433 | Life Opportunities Unlimited | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 34 Valley Rd, Glen Rock, NJ 07452-1712 | 2015-06-11 |
| 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.