COMMUNITY ACTION FOR INDEPENDENT LIVING, INC. (NPI# 1992186449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992186449 |
| Entity Type | Organization |
| Organization Name | COMMUNITY ACTION FOR INDEPENDENT LIVING, INC. |
| Other Organization Name | INTERSERV SERVICES, INC. |
| Practice Address |
34 S Centre St South Orange NJ 07079-2608 |
| Mailing Address |
1 Cornell Pkwy Springfield NJ 07081-3561 |
| Practice Telephone | 9737637248 |
| Practice Fax Number | 9738215497 |
| Mailing Telephone | 9735647557 |
| Mailing Fax Number | 9734674255 |
| Enumeration Date | 2015-06-10 |
| Last Update Date | 2015-06-10 |
| Authorized Official Name | MICHELE DIFABIO (CONTROLLER) |
| Authorized Official Telephone | 9735647557 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | GH201 | NJ | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| InterServ Services, Inc. | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366823619 | Community Action for Independent Living, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 504-506 Mt. Prospect Ave, Newark, NJ 07108 | 2015-06-12 |
| 1558742940 | Community Action for Independent Living, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 162 Bryant Ave, Springfield, NJ 07081-1615 | 2015-06-11 |
| 1023499589 | Community Action for Independent Living, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 155 Poor St, Hackensack, NJ 07601-1710 | 2015-06-10 |
| 1699156158 | Community Action for Independent Living, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 49 Union Ave, Maplewood, NJ 07040-1515 | 2015-06-10 |
| 1184005647 | Community Action for Independent Living, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 63 Princeton Rd, Elizabeth, NJ 07208-1340 | 2015-06-10 |
| 1467833921 | Community Action for Independent Living, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 983 Riverview Dr, Totowa, NJ 07512-1148 | 2015-06-10 |
| 1003297540 | Community Action for Independent Living, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1141 Springfield Ave, New Providence, NJ 07974-2228 | 2015-06-10 |
| 1790177467 | Community Action for Independent Living, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1 Cornell Pkwy, Springfield, NJ 07081-3561 | 2015-03-04 |
| Street Address |
34 S CENTRE ST |
| City | SOUTH ORANGE |
| State | NJ |
| Zip Code | 07079-2608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467956326 | Community Options Enterprises, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 34 S Centre St, South Orange, NJ 07079-2608 | 2018-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255946216 | Melissa Marie Johnson | Counselor | 9 Vose Avenue, South Orange, NJ 07079 | 2020-09-15 |
| 1730663493 | Private Quarters Hair Salon LLC | Prosthetic/Orthotic Supplier | 12 Academy Street, South Orange, NJ 07079 | 2018-09-19 |
| 1457731085 | Jespy House Inc. | Day Training, Developmentally Disabled Services | 343 Academy Street, South Orange, NJ 07079 | 2015-06-09 |
| 1760876460 | Dianne Marie Aguero-trotter | Psychologist | 400 South Orange Ave, South Orange, NJ 07079 | 2015-03-20 |
| 1679815922 | Beth L Sosin | Obstetrics & Gynecology | South Orange Ob/gyn & Infertility Group, 106 Valley Street, Ramp Entrance, South Orange, NJ 07079 | 2013-03-25 |
| 1790061745 | Obianuju Rita Mbamalu | Dentist | 71 Valley St Ste 100, South Orange, NJ 07079 | 2011-10-21 |
| 1669765061 | Aba 4 U | Behavioral Analyst | 4 South Orange Avenue Box 189, South Orange, NJ 07079 | 2011-05-18 |
| 1598903882 | Guiding Hands Pediatrics | Pediatrics | 179 Irvington Avenue, South Orange, NJ 07079 | 2009-01-26 |
| 1417161647 | Rosalyn Myrna Shapiro | Counselor | 346 Harding Drive, So Orange, NJ 07079 | 2007-05-09 |
| 1821200403 | Donald Raymond Reeves Jr. | Psychiatry & Neurology | 112 Raymond Avenue, South Orang, NJ 07079 | 2007-05-04 |
| Find all providers in zip 07079 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346768256 | Partnerships for People, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 280 Vose Ave, South Orange, NJ 07079-2031 | 2017-08-31 |
| 1902276405 | Community Options, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 154 Irvington Ave, South Orange, NJ 07079-2209 | 2015-09-28 |
| 1831568138 | Community Options, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 57 Whiteoak Dr, South Orange, NJ 07079-1007 | 2015-09-17 |
| 1467956326 | Community Options Enterprises, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 34 S Centre St, South Orange, NJ 07079-2608 | 2018-03-23 |
| 1588198188 | Arc of Essex County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 18 Prospect St, South Orange, NJ 07079-2267 | 2017-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871559 | Heart To Heart Health Care Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 414 Mamie Ct, Brick, NJ 08723-6438 | 2020-11-06 |
| 1316548167 | The Arc of Cape May County, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 111 E Woodland Ave, Cape May Court House, NJ 08210-3815 | 2020-11-06 |
| 1730789447 | Community Options, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 209 Loganberry Ln, Freehold, NJ 07728-4045 | 2020-10-30 |
| 1881294858 | Youth Consultation Service Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 107 Echohill Ln, Willingboro, NJ 08046-2205 | 2020-10-29 |
| 1093314759 | Fordham-lewis Consulting, L.L.C. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 94 Ramapo Valley Rd, Mahwah, NJ 07430-1161 | 2020-10-22 |
| 1487252177 | Heart To Heart Health Care Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1476 W Terrace Cir Apt 2, Teaneck, NJ 07666-5230 | 2020-10-14 |
| 1215535422 | Community Options, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 231 Griggstown Rd, Belle Mead, NJ 08502-5204 | 2020-10-12 |
| 1003413311 | Excelsior Services Group LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 415 Main Ave, Wood Ridge, NJ 07075-2055 | 2020-10-08 |
| 1659988178 | Community Options, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19 Heather Ln, Belle Mead, NJ 08502-5125 | 2020-09-29 |
| 1598372021 | Community Options, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 838 Long Road, Gillete, NJ 07933-0854 | 2020-09-29 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH ORANGE |
| Zip Code | 07079 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.