OrganizationActive
Life Opportunities Unlimited
NPI 1104384460 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Waldwick, NJ
Provider details
- NPI number
- 1104384460
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Gail Tamirian-Mandeli, Executive Director(201) 689-1128
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
28 Cleveland Ave
Waldwick, NJ 07463
Phone: (201) 689-1128
Fax: (201) 689-1136
Street-level locationGet directions
Mailing address
75 North Maple Ave
Ridgewood, NJ 07450
Registry dates
- Enumerated
- 2019-03-06
- Last updated
- 2019-03-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.