SPECTRUM FOR LIVING DEVELOPMENT, INC.


Address: 641 Lincoln Ave, Glen Rock, NJ 07452-2518
Phone: 2014475664

SPECTRUM FOR LIVING DEVELOPMENT, INC. (NPI# 1528440120) 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) 1528440120
Entity Type Organization
Organization Name SPECTRUM FOR LIVING DEVELOPMENT, INC.
Practice Address 641 Lincoln Ave
Glen Rock
NJ 07452-2518
Mailing Address 210 Rivervale Rd
Suite 3
Rivervale
NJ 07675-6281
Practice Telephone 2014475664
Mailing Telephone 2013588000
Mailing Fax Number 2013581823
Enumeration Date 2015-06-19
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 GLEN ROCK GH389 NJ Residential Treatment Facilities

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
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

Office Location

Street Address 641 LINCOLN AVE
City GLEN ROCK
State NJ
Zip Code 07452-2518

Providers in the same zip code

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
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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
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
1427431071 Spectrum for Living Development, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 343 Highwood Ave, Glen Rock, NJ 07452-1438 2015-07-01
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

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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Competitor

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City GLEN ROCK
Zip Code 07452

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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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