NPIMap

Organization Active NPI

Spectrum for Living Development, Inc.

  • In Home Supportive Care Agency
  • Bergenfield, NJ
National Provider Identifier
1669994612
Registry record updated Feb 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
GH264 Issued in NJ
Legal business name
SPECTRUM FOR LIVING DEVELOPMENT, INC.
Practice address
107 Vreeland Ave
Bergenfield, NJ 07621-1928
Phone
(201) 384-9401
NPI assigned
Jul 12, 2017
Last updated
Feb 28, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2020

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

Authorized official

Name
William G. Muilenburg
Title
Cfo
Phone
(201) 358-8000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X GH264 NJ Primary

Addresses

Primary practice location

107 Vreeland Ave
Bergenfield, NJ 07621-1928

Mailing address

210 Rivervale Rd Apt 3
River Vale, NJ 07675-6281
Phone (201) 358-8000

Other practice location 1

210 Rivervale Rd Apt 3
River Vale, NJ 07675-6281
Phone (201) 358-8000 ext. 3037

Other names 1

  • Spectrum for Living Group Homes, Inc. Other name

National Provider Directory

National Provider Directory
Tax ID family
Spectrum for Living Development Inc75 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1499817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582848000000",
    "number": "1669994612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 RIVERVALE RD APT 3",
            "city": "RIVER VALE",
            "state": "NJ",
            "postal_code": "076756281",
            "telephone_number": "201-358-8000",
            "fax_number": "201-358-8089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 VREELAND AVE",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076211928",
            "telephone_number": "201-384-9401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 Rivervale Rd Apt 3",
            "address_purpose": "LOCATION",
            "city": "River Vale",
            "state": "NJ",
            "postal_code": "076756281",
            "country_code": "US",
            "telephone_number": "201-358-8000 x3037",
            "fax_number": "201-358-8089",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SPECTRUM FOR LIVING DEVELOPMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-12",
        "last_updated": "2020-02-28",
        "certification_date": "2020-02-28",
        "status": "A",
        "authorized_official_last_name": "MUILENBURG",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "201-358-8000"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NJ",
            "license": "GH264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spectrum for Living Group Homes, Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bergenfield, NJ

Sources for this page

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