Provider Demographics
NPI:1841013067
Name:INDEPENDENT CARING REALITIES INC
Entity type:Organization
Organization Name:INDEPENDENT CARING REALITIES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:CODIGNOTTO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-943-0797
Mailing Address - Street 1:22 PRIMROSE LN
Mailing Address - Street 2:
Mailing Address - City:HACKETTSTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07840-3141
Mailing Address - Country:US
Mailing Address - Phone:973-943-0797
Mailing Address - Fax:973-895-2345
Practice Address - Street 1:22 PRIMROSE LN
Practice Address - Street 2:
Practice Address - City:HACKETTSTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07840-3141
Practice Address - Country:US
Practice Address - Phone:973-943-0797
Practice Address - Fax:973-895-2345
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-05
Last Update Date:2024-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities