Clover Hill Senior Living, LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

CLOVER HILL SENIOR LIVING, LLC

Practice address

794 High Mountain Rd
North Haledon, NJ 07508-2722

Phone

(201) 485-4000

Fax

(201) 485-4001

NPI assigned

Jan 19, 2021

Organization subpart

No

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

Authorized official

Name

Ms. Maryanne P McGuire

Title

Executive Director

Phone

(201) 485-4000

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1611014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611014400000",
    "number": "1508456112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "794 HIGH MOUNTAIN RD",
            "city": "NORTH HALEDON",
            "state": "NJ",
            "postal_code": "075082722",
            "telephone_number": "201-485-4000",
            "fax_number": "201-485-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "794 HIGH MOUNTAIN RD",
            "city": "NORTH HALEDON",
            "state": "NJ",
            "postal_code": "075082722",
            "telephone_number": "201-485-4000",
            "fax_number": "201-485-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLOVER HILL SENIOR LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-19",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A",
        "authorized_official_last_name": "MCGUIRE",
        "authorized_official_first_name": "MARYANNE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "201-485-4000",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Isabel Campo, LPC
• Patrick Frank Capizzi, DC
• Hailey Carlino
• Carmen John Occhiuzzi DC, L.L.C.
• Rodolfo Chua Jr., PT
• Kamryn Convertino, RDN
• Susan J Creange, PH.D
• Risa D'Angelo
• Ken Davis, DMD
• Zully Alexandra Delgado

• Adult Care Home Facility in North Haledon, NJ
• Providers in North Haledon, NJ by specialty
• Adult Care Home Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; 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.