OrganizationActive
Special Needs Residence LLC
NPI 1164052197 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Warren, NJ
Provider details
- NPI number
- 1164052197
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Parent organization
- Special Needs Residence LLC
- Organization subpart
- Yes
- Authorized official
- Deena Schaffer, Cfo(908) 889-4200
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
130 Mount Bethel Rd Apt 105
Warren, NJ 07059-5129
Phone: (908) 757-7000
Street-level locationGet directions
Mailing address
316 South Ave
Fanwood, NJ 07023-1325
Other names (DBA / former)
- Doing business as
- Mt Bethel Village
Registry dates
- Enumerated
- 2020-01-17
- Last updated
- 2020-01-17
- Certified
- 2020-01-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.