Organization Active NPI

Alfa Development Inc.

  • Assisted Living Facility (Behavioral Disturbances)
  • Butler, NJ
National Provider Identifier
1730794645
Registry record updated Sep 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X
Legal business name
ALFA DEVELOPMENT INC.
Practice address
97 Bartholdi Ave
Butler, NJ 07405-1426
Phone
(973) 697-1010
NPI assigned
Sep 9, 2020
Last updated
Sep 9, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2020

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

Authorized official

Name
Lisa Runne
Title
Office Manager
Phone
(973) 697-1010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Behavioral Disturbances) 3104A0630X NU Primary

Addresses

Primary practice location

97 Bartholdi Ave
Butler, NJ 07405-1426

Mailing address

39 Oak Ridge Rd
Newfoundland, NJ 07435-1403
Phone (973) 697-1010

Other identifiers 1

IdentifierTypeStateIssuer
0542971MedicaidNJ

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1599609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599609600000",
    "number": "1730794645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 OAK RIDGE RD",
            "city": "NEWFOUNDLAND",
            "state": "NJ",
            "postal_code": "074351403",
            "telephone_number": "973-697-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 BARTHOLDI AVE",
            "city": "BUTLER",
            "state": "NJ",
            "postal_code": "074051426",
            "telephone_number": "973-697-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALFA DEVELOPMENT INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-09",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-01",
        "status": "A",
        "authorized_official_last_name": "RUNNE",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "973-697-1010"
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0542971",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Butler, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.