Ivy Stone Community Living LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

IVY STONE COMMUNITY LIVING LLC

Practice address

7999 N Route 130
Pennsauken, NJ 08110-1402

Phone

(185) 648-8555

NPI assigned

Dec 27, 2022

Last updated

Dec 27, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Eli Blumenkrantz

Title

Cfo

Phone

(856) 488-5557

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1672099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672099200000",
    "number": "1467165258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7999 N ROUTE 130",
            "city": "PENNSAUKEN",
            "state": "NJ",
            "postal_code": "081101402",
            "telephone_number": "185-648-8555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7999 N ROUTE 130",
            "city": "PENNSAUKEN",
            "state": "NJ",
            "postal_code": "081101402",
            "telephone_number": "185-648-8555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVY STONE COMMUNITY LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-27",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A",
        "authorized_official_last_name": "BLUMENKRANTZ",
        "authorized_official_first_name": "ELI",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "856-488-5557"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Pennsauken, NJ
• Providers in Pennsauken, NJ by specialty
• Assisted Living Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.