COMMUNITY ACTION FOR INDEPENDENT LIVING, INC. (NPI# 1558742940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558742940 |
| Entity Type | Organization |
| Organization Name | COMMUNITY ACTION FOR INDEPENDENT LIVING, INC. |
| Other Organization Name | INTERSERV SERVICES, INC. |
| Practice Address |
162 Bryant Ave Springfield NJ 07081-1615 |
| Mailing Address |
1 Cornell Pkwy Springfield NJ 07081-3561 |
| Practice Telephone | 9733767604 |
| Practice Fax Number | 9732325636 |
| Mailing Telephone | 9735647557 |
| Mailing Fax Number | 9734674255 |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2015-06-11 |
| Authorized Official Name | MICHELE DIFABIO (CONTROLLER) |
| Authorized Official Telephone | 9735647557 |
| 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 | GH281 | NJ | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| interServ Services, Inc. | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366823619 | Community Action for Independent Living, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 504-506 Mt. Prospect Ave, Newark, NJ 07108 | 2015-06-12 |
| 1023499589 | Community Action for Independent Living, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 155 Poor St, Hackensack, NJ 07601-1710 | 2015-06-10 |
| 1699156158 | Community Action for Independent Living, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 49 Union Ave, Maplewood, NJ 07040-1515 | 2015-06-10 |
| 1992186449 | Community Action for Independent Living, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 34 S Centre St, South Orange, NJ 07079-2608 | 2015-06-10 |
| 1184005647 | Community Action for Independent Living, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 63 Princeton Rd, Elizabeth, NJ 07208-1340 | 2015-06-10 |
| 1467833921 | Community Action for Independent Living, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 983 Riverview Dr, Totowa, NJ 07512-1148 | 2015-06-10 |
| 1003297540 | Community Action for Independent Living, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1141 Springfield Ave, New Providence, NJ 07974-2228 | 2015-06-10 |
| 1790177467 | Community Action for Independent Living, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1 Cornell Pkwy, Springfield, NJ 07081-3561 | 2015-03-04 |
| Street Address |
162 BRYANT AVE |
| City | SPRINGFIELD |
| State | NJ |
| Zip Code | 07081-1615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720582687 | Community Options Enterprises, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 162 Bryant Ave, Springfield, NJ 07081-1615 | 2018-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508408493 | Amrit Justin Jhauj | Chiropractor | 355 Us-22 East, Springfield, NJ 07081 | 2019-10-11 |
| 1760024665 | Paula Kolodynski | Physician Assistant | 355 Us Route 22, Springfield Township, NJ 07081 | 2019-10-11 |
| 1447722061 | Arielle Coutinho | Social Worker | 343 Milltown Rd, Springfield, NJ 07081 | 2018-12-20 |
| 1265948699 | Brighter Dental Care (springfield) | Dentist | 901 Mountain Avenue, Suite Sc-13, Springfield, NJ 07081 | 2017-12-21 |
| 1477080166 | Maira Gomez | Specialist | 1017 Burnet Ave, Union, NJ 07081 | 2017-05-12 |
| 1215472980 | Kara S Jablonka, LLC | Social Worker | 28 Millburn Avenue (suite #7), Springfield, NJ 07081 | 2017-01-04 |
| 1467813188 | Therapyworks LLC | Health Maintenance Organization | 74 Madison Terrace, Springfield, NJ 07081 | 2016-03-08 |
| 1942677893 | Jody Fenelon | Pharmacist | 50 Lawrence Road, Springfield, NJ 07081 | 2015-08-26 |
| 1013336601 | Exceptional Eye Care Group of Springfield L.L.C. | Optometrist | 55-d Route 22 East, Springfield, NJ 07081 | 2014-04-10 |
| 1790116424 | Kara Simon Jablonka | Social Worker | 28 Millburn Ave (suite 7), Springfield, NJ 07081 | 2013-12-05 |
| Find all providers in zip 07081 | ||||
| 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 |
|---|---|---|---|---|
| 1659993079 | Collaborative Community LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6000 Filbert Ct, Springfield, VA 22152-1609 | 2020-05-07 |
| 1598306904 | Hearo Technologies LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 405 N Jefferson Ave Ste 1063, Springfield, MO 65806-1110 | 2019-10-07 |
| 1144685785 | Divine Providence Village | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 58 Shelburne Rd, Springfield, PA 19064-2206 | 2015-12-28 |
| 1912362088 | Divine Providence Village | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 524 Kerr Ln, Springfield, PA 19064-1616 | 2015-12-16 |
| 1558726620 | Divine Providence Village | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 139 N Hillcrest Rd, Springfield, PA 19064-1441 | 2015-12-16 |
| 1386029072 | Preferred Family Healthcare, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2646 W Olive St, Apt A, Springfield, MO 65802-4620 | 2015-07-23 |
| 1104200096 | The Arc of Union County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 43 Baltusrol Way, Springfield, NJ 07081-1503 | 2015-07-10 |
| 1790177467 | Community Action for Independent Living, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1 Cornell Pkwy, Springfield, NJ 07081-3561 | 2015-03-04 |
| 1932546702 | Behavioral Learning Center, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 230 N Belcrest Ave, Suite B, Springfield, MO 65802-6288 | 2013-06-03 |
| 1134422850 | Abilities First | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1370 E Primrose St, Ste. A, Springfield, MO 65804-4279 | 2010-12-20 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 07081 |
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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.