Provider Demographics
NPI:1326581190
Name:FRIENDS OF CYRUS II
Entity Type:Organization
Organization Name:FRIENDS OF CYRUS II
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:SINGHANI
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:201-213-1935
Mailing Address - Street 1:2 METTOWEE FARMS CT
Mailing Address - Street 2:P O BOX 108
Mailing Address - City:UPPER SADDLE RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:07458-2125
Mailing Address - Country:US
Mailing Address - Phone:201-213-1935
Mailing Address - Fax:
Practice Address - Street 1:21 EXTON LN
Practice Address - Street 2:
Practice Address - City:WILLINGBORO
Practice Address - State:NJ
Practice Address - Zip Code:08046-2216
Practice Address - Country:US
Practice Address - Phone:201-213-1935
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-29
Last Update Date:2016-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
No261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities
No320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child