NPIMap

Organization Active NPI

Community Action for Independent Living, Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • New Providence, NJ
National Provider Identifier
1003297540
Registry record updated Jun 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
GH280 Issued in NJ
Legal business name
COMMUNITY ACTION FOR INDEPENDENT LIVING, INC.
Practice address
1141 Springfield Ave
New Providence, NJ 07974-2228
Phone
(908) 665-8576
Fax
(908) 516-2599
NPI assigned
Jun 10, 2015
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Michele Difabio
Title
Controller
Phone
(973) 564-7557

Corporate family (same tax ID) 8

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

National Provider Directory
Tax ID family
Community Action for Independent Living Inc (9 organizations share this tax ID)

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X GH280 NJ Primary

Addresses

NPPES NPI Registry

Primary practice location

1141 Springfield Ave
New Providence, NJ 07974-2228

Mailing address

1 Cornell Pkwy
Springfield, NJ 07081-3561
Phone (973) 564-7557

Other names 1

NPPES NPI Registry
  • InterServ Services, Inc. Former legal business name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 10, 2015.

{
    "created_epoch": "1433894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433894400000",
    "number": "1003297540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CORNELL PKWY",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070813561",
            "telephone_number": "973-564-7557",
            "fax_number": "973-467-4255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 SPRINGFIELD AVE",
            "city": "NEW PROVIDENCE",
            "state": "NJ",
            "postal_code": "079742228",
            "telephone_number": "908-665-8576",
            "fax_number": "908-516-2599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY ACTION FOR INDEPENDENT LIVING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-10",
        "last_updated": "2015-06-10",
        "status": "A",
        "authorized_official_last_name": "DIFABIO",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "973-564-7557"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NJ",
            "license": "GH280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "InterServ Services, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in New Providence, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.