Livia Health at East Hanover LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

LIVIA HEALTH AT EAST HANOVER LLC

Practice address

1 S Ridgedale Ave
East Hanover, NJ 07936-3142

Phone

(973) 995-6700

NPI assigned

Mar 24, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Rich Molfetta

Title

Coo

Phone

(973) 995-3300

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Skilled nursing facility certification: CCN 315529

Legal name

LIVIA HEALTH AT EAST HANOVER LLC

Doing business as

LIVIA HEALTH AND SENIOR LIVING

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

May 14, 2020

Last certification

Sep 20, 2024

Beds

86

Ownership / control type

Limited Liability Corporation

Organization structure

LLCProprietary

Incorporated

Jul 12, 2017 in NJ

Enrollment address

1 S Ridgedale Ave
East Hanover, NJ 07936-3142

Nursing home name

LIVIA HEALTH AND SENIOR LIVING

Listed as

Livia Health and Senior LivingCCN 315529 · All quality measures

Overall star rating

5 of 5

Health inspections

4 of 5

Staffing

4 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

May 14, 2020

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

8676.4 residents per day on average

Penalties (3 years)

1Fines totaling $24,850

Processed by Care Compare on Aug 1, 2026.

Tax ID family

Livia Health at East Hanover LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Livia Health at East Hanover LLC

  • Assisted Living Facility
  • East Hanover, NJ
  • NPI 1255960746
  NPD tax ID

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Jason Nicholas Prager, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Morristown, NJ
  • NPI 1801047667

  Nursing home

  Care Compare affiliation
• Jennilee A Trinidad, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Morristown, NJ
  • NPI 1952629925

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1585008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708041600000",
    "number": "1043847619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 S RIDGEDALE AVE",
            "city": "EAST HANOVER",
            "state": "NJ",
            "postal_code": "079363142",
            "telephone_number": "973-995-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 S RIDGEDALE AVE",
            "city": "EAST HANOVER",
            "state": "NJ",
            "postal_code": "079363142",
            "telephone_number": "973-995-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVIA HEALTH AT EAST HANOVER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-24",
        "last_updated": "2024-02-16",
        "certification_date": "2023-10-25",
        "status": "A",
        "authorized_official_last_name": "MOLFETTA",
        "authorized_official_first_name": "RICH",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "973-995-3300"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn M Lesiczka, DPT
• Life Medical Group, PC
• Life Mobile Imaging, Inc
• Julie T Lin, M.D.
• Sofia Litos, PHARM.D.
• Livia Health at East Hanover LLC
• Danika Loan
• Kathleen Graham Lomax, M.D.
• Susan Lombardi, MD
• Marissa Stephanie London, LAC

• Skilled Nursing Facility in East Hanover, NJ
• Providers in East Hanover, NJ by specialty
• Skilled Nursing Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.