Organization Active NPI

Slade Enterprise Inc

Doing business as Rehabilitation Specialists

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Fair Lawn, NJ
National Provider Identifier
1639380579
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
SLADE ENTERPRISE INC
Doing business as
Rehabilitation Specialists
Practice address
18-01 Pollitt Drive
Suite 1 a
Fair Lawn, NJ 07410-2815
Phone
(201) 478-4200
Fax
(201) 478-4201
NPI assigned
May 24, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Corinne Slade, OTR'L
Title
President
Phone
(201) 478-4200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

18-01 Pollitt Drive
Suite 1 a
Fair Lawn, NJ 07410-2815

Mailing address

18-01 Pollitt Drive
Suite 1 a
Fair Lawn, NJ 07410-2815
Phone (201) 478-4200

Other names 1

  • Rehabilitation Specialists Doing business as

National Provider Directory

National Provider Directory

Locations

18-01 Pollitt Dr
Ste 1A
Fair Lawn, NJ 07410
Phone (201) 478-4200

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639380579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18-01 POLLITT DRIVE",
            "address_2": "SUITE 1 A",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074102815",
            "telephone_number": "201-478-4200",
            "fax_number": "201-478-4201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18-01 POLLITT DRIVE",
            "address_2": "SUITE 1 A",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074102815",
            "telephone_number": "201-478-4200",
            "fax_number": "201-478-4201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLADE ENTERPRISE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SLADE",
        "authorized_official_first_name": "CORINNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-478-4200",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR'L"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rehabilitation Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fair Lawn, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.