SPECTRUM FOR LIVING DEVELOPMENT, INC. (NPI# 1639318306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639318306 |
| Entity Type | Organization |
| Organization Name | SPECTRUM FOR LIVING DEVELOPMENT, INC. |
| Other Organization Name | SPECTRUM FOR LIVING |
| Practice Address |
50 Blanch Ave Closter NJ 07624-1228 |
| Mailing Address |
210 Rivervale Rd Rivervale NJ 07675-6281 |
| Practice Telephone | 2017849400 |
| Mailing Telephone | 2013588000 |
| Mailing Fax Number | 2013588089 |
| Enumeration Date | 2009-02-19 |
| Last Update Date | 2009-02-19 |
| Authorized Official Name | MR. CARMINE G MARCHIONDA (PRESIDENT/CEO) |
| Authorized Official Telephone | 2013588086 |
| Authorized Official Credential | LNHA, MBA, MPHA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 315P00000X | Intermediate Care Facility, Mentally Retarded | 31G012 | NJ | Nursing & Custodial Care Facilities |
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
83011 | NJ | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Spectrum for Living | Other Name - Individual/Organization |
| 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 |
50 BLANCH AVE |
| City | CLOSTER |
| State | NJ |
| Zip Code | 07624-1228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710192364 | Spectrum for Living | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 50 Blanch Ave, Closter, NJ 07624-1228 | 2007-05-14 |
| 1558547265 | Mona Teresa Lynch Boland | Nurse Practitioner | 50 Blanch Ave, Closter, NJ 07624-1228 | 2008-01-11 |
| 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 | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831798305 | South Brunswick Adc LLC | Clinic/Center | 2000 Cornwall Rd Ste 500, Monmouth Junction, NJ 08852-2444 | 2020-10-25 |
| 1164042230 | Necessary Resources, LLC | Clinic/Center | 130 Us Highway 22 E Fl 1, North Plainfield, NJ 07060-3806 | 2020-04-19 |
| 1609407212 | Archangel Michael Coptic Orthodox Church | Clinic/Center | 7 Church Rd, Howell, NJ 07731-2402 | 2020-02-01 |
| 1932749835 | Helping Hands Healthcare Inc. | Clinic/Center | Helpinghands Healthcare Inc., 219 Black-horse Lane, North Brunswick, NJ 08902 | 2020-01-09 |
| 1841832482 | Perfecting Life Community Center | Clinic/Center | 183 Belmont Ave, Haledon, NJ 07508-1477 | 2019-10-15 |
| 1083255012 | Param Healthcare & It Services, Inc | Clinic/Center | 750 Bloomfield Ave, Clifton, NJ 07012-1257 | 2019-10-01 |
| 1699329094 | Prestigious Adult Day Care, Inc. | Clinic/Center | 7 Broad Ave Ste 301, Palisades Park, NJ 07650-1886 | 2019-07-25 |
| 1932768991 | Broad Amdc Inc. | Clinic/Center | 248 Broad Ave Fl 2, Palisades Park, NJ 07650-1552 | 2019-06-12 |
| 1831651082 | Nand Ghanshyam | Clinic/Center | 347 Elizabeth Ave, Somerset, NJ 08873-1123 | 2019-04-04 |
| 1497217939 | Care Forever Adult Day Care Center LLC | Clinic/Center | 7 Progress St, Edison, NJ 08820-1102 | 2019-04-03 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SPECTRUM FOR LIVING DEVELOPMENT, INC..
| 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.