OrganizationActive
Project Live, Inc.
NPI 1336263532 · Mental Illness Community Based Residential Treatment Facility · Newark, NJ
Provider details
- NPI number
- 1336263532
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Alma Amendola, Billing and Claim Analyst(973) 481-1211
Specialties & taxonomies
Residential Treatment Facilities
- Case Management Agency251B00000X
Agencies
- In Home Supportive Care Agency253Z00000X
Agencies
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
465-475 Broadway
Newark, NJ 07104
Phone: (973) 481-1211
Fax: (973) 481-0195
Street-level locationGet directions
Mailing address
465-475 Broadway
Newark, NJ 07104
Registry dates
- Enumerated
- 2007-03-16
- Last updated
- 2025-11-20
- Certified
- 2025-11-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.