COMMUNITY ACTION FOR INDEPENDENT LIVING, INC.


Address: 49 Union Ave, Maplewood, NJ 07040-1515
Phone: 9737637556

COMMUNITY ACTION FOR INDEPENDENT LIVING, INC. (NPI# 1699156158) 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) 1699156158
Entity Type Organization
Organization Name COMMUNITY ACTION FOR INDEPENDENT LIVING, INC.
Other Organization Name INTERSERV SERVICES, INC.
Practice Address 49 Union Ave
Maplewood
NJ 07040-1515
Mailing Address 1 Cornell Pkwy
Springfield
NJ 07081-3561
Practice Telephone 9737637556
Practice Fax Number 9733272639
Mailing Telephone 9735647557
Mailing Fax Number 9734674255
Enumeration Date 2015-06-10
Last Update Date 2015-06-10
Authorized Official Name MICHELE DIFABIO (CONTROLLER)
Authorized Official Telephone 9735647557
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 GH190 NJ Residential Treatment Facilities

Other Provider/Organization Names

Other Name Type Code
InterServ Services, Inc. Former Legal Business Name - Organization

Other Provider IDs and Locations

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
1558742940 Community Action for Independent Living, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 162 Bryant Ave, Springfield, NJ 07081-1615 2015-06-11
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
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

Office Location

Street Address 49 UNION AVE
City MAPLEWOOD
State NJ
Zip Code 07040-1515

Providers in the same location

NPI Name Taxonomy Address Enumeration
1013411974 Community Options Enterprises, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 49 Union Ave, Maplewood, NJ 07040-1515 2018-03-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538654462 Ajibola G Alli Counselor 15 Hausmann Ct Fl 1, Maplewood, NJ 07040 2018-06-23
1487142980 Monica Goodrich Student in an Organized Health Care Education/Training Program Winchester Gardens, 333 Elmwood Ave, Maplewood, NJ 07040 2018-04-30
1487173795 Jessica M Hodge Marriage & Family Therapist 35 Marie Place, Maplewood, NJ 07040 2017-09-18
1386173797 Marianne Nadine Rubino Social Worker 111 Dunnell Road, Suite 201-8, Maplewood, NJ 07040 2017-06-08
1629504881 Krishna Surapaneni Pharmacist 747 Irvington Avenue, Maplewood, NJ 07040 2017-05-10
1548717143 Mindset Psychotherapy Center Social Worker 2040 Millburn Ave. Suite 205, Maplewood, NJ 07040 2016-09-01
1588010888 Rochelle Laverne Brunson Massage Therapist 2130 Millburn Ave., Suite C8, Maplewood, NJ 07040 2016-05-05
1881082774 Perry Grossman Physical Medicine & Rehabilitation 137 Parker Avenue, Maplewood, NJ 07040 2014-12-31
1124436746 Karen Reckson Specialist 24 Beach Place, Maplewood, NJ 07040 2014-07-28
1427462670 Appetite for Health Dietitian, Registered 94 Claremont Ave, Maplewood, NJ 07040 2014-06-16
Find all providers in zip 07040

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
1982268264 Glavedia M Alexandre Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 10 Oregon St, Maplewood, NJ 07040-3515 2019-04-23
1285144055 Our House, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 486 Boyden Ave Apt 2, Maplewood, NJ 07040-3031 2017-10-06
1912422577 Cerebral Palsy of North Jersey Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 760 Valley St, Maplewood, NJ 07040-2610 2017-08-04
1457871170 Arc of Essex County Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 705 Irvington Ave Unit 1b, Maplewood, NJ 07040-1649 2017-06-23
1184144800 Arc of Essex County Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 705 Irvington Ave Unit 1c, Maplewood, NJ 07040-1649 2017-06-23
1538689252 Arc of Essex Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 705 Irvington Ave Unit 2a, Maplewood, NJ 07040-1649 2017-06-23
1124548847 Arc of Essex County Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 705 Irvington Ave Unit 2b, Maplewood, NJ 07040-1649 2017-06-23
1447770169 Arc of Essex County Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 705 Irvington Ave Unit 2c, Maplewood, NJ 07040-1649 2017-06-23
1477073146 Arc of Essex County Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 705 Irvington Ave Unit 3a, Maplewood, NJ 07040-1649 2017-06-23
1720508443 Arc of Essex County Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 705 Irvington Ave Unit 3b, Maplewood, NJ 07040-1649 2017-06-23
Find all providers in MAPLEWOOD

Competitor

Search similar providers

City MAPLEWOOD
Zip Code 07040

Improve Information

Please comment or provide details below to improve the information on COMMUNITY ACTION FOR INDEPENDENT LIVING, INC..

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.

Trending Searches