SPECTRUM FOR LIVING DEVELOPMENT, INC.


Address: 33 Piermont Rd Apt 7, Rockleigh, NJ 07647-2713
Phone: 2017502763

SPECTRUM FOR LIVING DEVELOPMENT, INC. (NPI# 1427570159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1427570159
Entity Type Organization
Organization Name SPECTRUM FOR LIVING DEVELOPMENT, INC.
Practice Address 33 Piermont Rd Apt 7
Rockleigh
NJ 07647-2713
Mailing Address 210 Rivervale Rd
River Vale
NJ 07675-6281
Practice Telephone 2017502763
Mailing Telephone 2013588000
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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320900000X Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities SA648 NJ Residential Treatment Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NJ 0536521 05

Other Provider IDs and Locations

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
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
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

Office Location

Street Address 33 PIERMONT RD APT 7
City ROCKLEIGH
State NJ
Zip Code 07647-2713

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1871097030 Youth Consultation Service Inc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 148 Walnut Street, Northvale, NJ 07647 2018-03-22
1023352614 Melanie Saladino Speech-Language Pathologist 34b Piermont Rd, Rockleigh, NJ 07647 2012-11-20
1356553028 Company Medical Associates General Practice 160 Paris Avenue, Suite 1, Northvale, NJ 07647 2007-05-04
1114045523 Vantage Health System Substance Abuse Rehabilitation Facility 35d Piermont Road, Rockleigh, NJ 07647 2007-03-26
1215093182 County of Bergen Nj Skilled Nursing Facility 35 Piermont Rd, Rockleigh, NJ 07647 2006-12-28
1649367129 Shilpa Ashok Patel Pediatrics 22 Paris Ave, Suite 109, Rockleigh, NJ 07647 2006-10-06
1093731036 Thomas Matthew Donofrio Physical Therapist 595 Wildwood Rd W, Northvale, NJ 07647 2006-07-14
1669874939 Jacqueline Sperber Nurse Practitioner 269 Livingston St Ste A, Northvale, NJ 07647 2014-09-18
1750509485 Mary Kavanagh Registered Nurse 35d Piermont Road, Rockleigh, NJ 07647 2007-04-20
1700350998 Mira Dogjani Occupational Therapy Assistant 10 Link Dr Rockleigh, Nj 07647 - 2504 United States, Rockleigh, NJ 07647-0763 2019-01-22
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Taxonomy Information

Taxonomy Code 320900000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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
1215459979 Spectrum for Living Development, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 33 Piermont Rd Apt 2, Rockleigh, NJ 07647-2713 2017-07-13
1053833715 Spectrum for Living Development, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 33 Piermont Rd Apt 4, Rockleigh, NJ 07647-2713 2017-07-13
1164944823 Spectrum for Living Development, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 33 Piermont Rd Apt 5, Rockleigh, NJ 07647-2713 2017-07-13
1780106476 Spectrum for Living Development, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 33 Piermont Rd Ste 8, Rockleigh, NJ 07647-2713 2017-07-13
1285016782 Spectrum for Living Development, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 33 Piermont Rd, Rockleigh, NJ 07647-2713 2015-06-22

Providers in the same taxonomy and state

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
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City ROCKLEIGH
Zip Code 07647

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Dataset Information

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.

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