SPECTRUM FOR LIVING (NPI# 1710192364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710192364 |
| Entity Type | Organization |
| Organization Name | SPECTRUM FOR LIVING |
| Practice Address |
50 Blanch Ave Closter NJ 07624-1228 |
| Mailing Address |
210 Rivervale Rd Suite 3 Rivervale NJ 07675-6281 |
| Practice Telephone | 2017849400 |
| Practice Fax Number | 2017848177 |
| Mailing Telephone | 2013588083 |
| Mailing Fax Number | 2013581823 |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. MARYANN DIOMEDE (DIRECTOR OF FINANCE) |
| Authorized Official Telephone | 2013588083 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SPECTRUM FOR LIVING | 81 Rivervale Rd, River Vale, NJ 07675-6214 |
| System for Award Management (SAM) Entities | SPECTRUM FOR LIVING GLEN ROCK PROPERTY INC | 641 Lincoln Ave, Glen Rock, NJ 07452-2518 |
| System for Award Management (SAM) Entities | SPECTRUM FOR LIVING GROUP HOMES INC | 210 Rivervale Road #3, River Vale, NJ 07675-6281 |
| Street Address |
50 BLANCH AVE |
| City | CLOSTER |
| State | NJ |
| Zip Code | 07624-1228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639318306 | Spectrum for Living Development, Inc. | Intermediate Care Facility, Mentally Retarded | 50 Blanch Ave, Closter, NJ 07624-1228 | 2009-02-19 |
| 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 | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912508979 | A.d.e.p.t. Programs, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 760 Eayrestown Rd # B2-01, Lumberton, NJ 08048-3162 | 2020-11-05 |
| 1508467556 | A.d.e.p.t. Programs, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 760 Eayrestown Rd Apt A2-10, Lumberton, NJ 08048-3180 | 2020-11-05 |
| 1629684451 | Reed Next, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 300 Avalon Dr Unit 3104, Wood Ridge, NJ 07075-1063 | 2020-09-17 |
| 1558971184 | Fordham-lewis Consulting, L.L.C. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 370 Clinton Ave, Wyckoff, NJ 07481-1939 | 2020-08-07 |
| 1649889668 | Options Imagined A Nj Nonprofit Corporation | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2467 State Route 10 Bldg 18-1a, Morris Plains, NJ 07950-1318 | 2020-07-27 |
| 1609405661 | New Horizons In Autism, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 718 Vivian Dr, Toms River, NJ 08753-5474 | 2020-04-02 |
| 1588299390 | Developmental Disability Awareness With Love (ddawl) | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2 Stiles Ln, Montville, NJ 07045-9424 | 2020-03-12 |
| 1265065981 | Olusina Oladipo Coker | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 424 Emma Dr, Toms River, NJ 08755-6412 | 2020-02-20 |
| 1790317378 | Attain & Gain Counseling, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 15 Ralph Road, West Orange, NJ 07052 | 2020-02-11 |
| 1821638180 | Woods Manor | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 321 Overbrook Ave, Glassboro, NJ 08028-2029 | 2020-01-14 |
| Find all providers with the same taxonomy | ||||
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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.