Provider Demographics
NPI: | 1063867653 |
---|---|
Name: | ACTUAL SOLUTIONS LLC |
Entity type: | Organization |
Organization Name: | ACTUAL SOLUTIONS LLC |
Other - Org Name: | <UNAVAIL> |
Other - Org Type: | |
Authorized Official - Title/Position: | DIRECTOR OF OPERATIONS, PARTNER |
Authorized Official - Prefix: | MR |
Authorized Official - First Name: | JOSEPH |
Authorized Official - Middle Name: | M |
Authorized Official - Last Name: | SPERLAZZA |
Authorized Official - Suffix: | III |
Authorized Official - Credentials: | EDS, MBA |
Authorized Official - Phone: | 908-464-1997 |
Mailing Address - Street 1: | PO BOX 446 |
Mailing Address - Street 2: | |
Mailing Address - City: | BERKELEY HEIGHTS |
Mailing Address - State: | NJ |
Mailing Address - Zip Code: | 07922-0446 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 908-464-1997 |
Mailing Address - Fax: | 866-539-6816 |
Practice Address - Street 1: | 364 SPRINGFIELD AVE |
Practice Address - Street 2: | BOX 446 |
Practice Address - City: | BERKELEY HEIGHTS |
Practice Address - State: | NJ |
Practice Address - Zip Code: | 07922-0446 |
Practice Address - Country: | US |
Practice Address - Phone: | 908-464-1997 |
Practice Address - Fax: | 866-539-6816 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2016-05-02 |
Last Update Date: | 2016-06-09 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 251C00000X | Agencies | Day Training, Developmentally Disabled Services | Group - Single Specialty | |
No | 171M00000X | Other Service Providers | Case Manager/Care Coordinator | Group - Single Specialty | |
No | 174400000X | Other Service Providers | Specialist | Group - Single Specialty | |
No | 1744R1102X | Other Service Providers | Specialist | Research Study | Group - Single Specialty |
No | 235Z00000X | Speech, Language and Hearing Service Providers | Speech-Language Pathologist | Group - Single Specialty | |
No | 320600000X | Residential Treatment Facilities | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | ||
No | 320800000X | Residential Treatment Facilities | Community Based Residential Treatment Facility, Mental Illness | ||
No | 320900000X | Residential Treatment Facilities | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | ||
No | 322D00000X | Residential Treatment Facilities | Residential Treatment Facility, Emotionally Disturbed Children | ||
No | 373H00000X | Nursing Service Related Providers | Day Training/Habilitation Specialist | Group - Single Specialty |