=====================================================
General NPI Number Information
=====================================================
NPI Number | 1114876919
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ALIYAH SUPPORTIVE LIVING AND COMMUNITY CARE
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/26/2026
-----------------------------------------------------
Last Update Date | 01/26/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 261 PARKER AVE FLOOR 1
-----------------------------------------------------
City | MAPLEWOOD
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07040-1637
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 917-864-1737
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 20 WATER GRANT STREET APT 506
-----------------------------------------------------
City | YONKER
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10701
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 917-864-1737
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MANAGING MEMBER
-----------------------------------------------------
Name | FIRDAWS Z NUREDEEN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 917-864-1737
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251S00000X
-----------------------------------------------------
Taxonomy Name | Community/Behavioral Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------