OrganizationActive
Center for Humanistic Change of Nj, Inc.
NPI 1245765106 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Bloomingdale, NJ
Provider details
- NPI number
- 1245765106
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Paul Kucinski, Executive Director(973) 691-3488
- License
- GH347 (NJ)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000XLicense GH347 (NJ)
Residential Treatment Facilities
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
17 Grove St
Bloomingdale, NJ 07403-1607
Phone: (973) 838-7756
Street-level locationGet directions
Mailing address
12 US Highway 206
Stanhope, NJ 07874-3269
Registry dates
- Enumerated
- 2017-04-27
- Last updated
- 2020-11-09
- Certified
- 2020-11-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.