Organization Active NPI

Soldan Community Living LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Linden, NJ
National Provider Identifier
1639867146
Registry record updated Apr 28, 2025
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
SOLDAN COMMUNITY LIVING LLC
Practice address
1190 W Saint Georges Ave Apt B23
Linden, NJ 07036-6155
Phone
(908) 266-0626
Fax
(323) 386-0986
NPI assigned
Apr 24, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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

Authorized official

Name
Efe Dick Duvwarovwo
Title
Ceo
Phone
(908) 266-0626

Specialties & licenses 1

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

Addresses

Primary practice location

1190 W Saint Georges Ave Apt B23
Linden, NJ 07036-6155

Mailing address

1190 W Saint Georges Ave Apt B23
Linden, NJ 07036-6155

Other practice location 1

30 Knightsbridge Rd Ste 525
Piscataway, NJ 08854-3963
Phone (908) 266-0626

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1682294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745798400000",
    "number": "1639867146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1190 W SAINT GEORGES AVE APT B23",
            "city": "LINDEN",
            "state": "NJ",
            "postal_code": "070366155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 W SAINT GEORGES AVE APT B23",
            "city": "LINDEN",
            "state": "NJ",
            "postal_code": "070366155",
            "telephone_number": "908-266-0626",
            "fax_number": "323-386-0986"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 Knightsbridge Rd Ste 525",
            "address_purpose": "LOCATION",
            "city": "Piscataway",
            "state": "NJ",
            "postal_code": "088543963",
            "country_code": "US",
            "telephone_number": "908-266-0626",
            "fax_number": "323-386-0986",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOLDAN COMMUNITY LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-24",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A",
        "authorized_official_last_name": "DUVWAROVWO",
        "authorized_official_first_name": "EFE",
        "authorized_official_middle_name": "DICK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "908-266-0626"
    },
    "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": []
}

Other providers in Linden, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; 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.