Ivystone Senior Living

LBN: Kdg Operating Company, Llc
Ivystone Senior Living is an health care organization with primary practice located at 7999 N Crescent Blvd , Pennsauken NJ 08110-1402. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Kdg Operating Company, Llc can be contacted via phone (856) 488-5557, or through Dioguardi, Raymond T. via phone (516) 496-1505.

Contact Information

Primary practice address
7999 N Crescent Blvd Pennsauken NJ 08110-1402
Phone: (856) 488-5557
Fax: (856) 488-9523
Website:
Map and Directions
Authorized official contact:
Name: Dioguardi, Raymond T.
Phone: (516) 496-1505

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 15C000 New Jersey

Profile Details

NPI number 1306969829
LBN Legal business name Kdg Operating Company, Llc
DBA Doing business as Ivystone Senior Living
Authorized official Dioguardi, Raymond T.
Entity Organization
Organization subpart 1 No
Enumeration date Apr 9th, 2007
Last updated Dec 3rd, 2018 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306969829 NPPES
New Jersey MEDICAID 0104124

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