OrganizationActive
Independent Care Realities Inc
NPI 1497366405 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Hackettstown, NJ
Provider details
- NPI number
- 1497366405
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Stephen Codignotto, Ceo(973) 895-2345
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
22 Primrose Ln
Hackettstown, NJ 07840-3141
Phone: (973) 699-0776
Street-level locationGet directions
Mailing address
22 Primrose Ln
Hackettstown, NJ 07840-3141
Registry dates
- Enumerated
- 2020-08-12
- Last updated
- 2024-11-05
- Certified
- 2024-11-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.