SYCAMORE LIVING
NPI 1255960746
Assisted Living Facility in East Hanover, NJ

NPI Status: Active since April 06, 2020

Contact Information

1 S RIDGEDALE AVE
EAST HANOVER, NJ
ZIP 07936
Phone: (973) 995-6700

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  • Organization
  • Assisted Living Facility
  • CLIA Number: 31D2291323
  • CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
  • CLIA Exp. Date: 10-09-2025

About SYCAMORE LIVING

This page provides the complete NPI Profile along with additional information for Sycamore Living, a provider established in East Hanover, New Jersey operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1255960746 assigned on April 2020. The practitioner's primary taxonomy code is 310400000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Sycamore Living. The authorized official of this NPI record is Rich Molfetta (Managing Principal)

NPI
1255960746
Provider Legal Name
LIVIA HEALTH AT EAST HANOVER LLC
Other Organization Name
SYCAMORE LIVING
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1 S RIDGEDALE AVE EAST HANOVER, NJ 07936
Location Phone
(973) 995-6700
Mailing Address
1 S RIDGEDALE AVE EAST HANOVER, NJ 07936
Mailing Phone
(973) 995-6700
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-06-2020
Last Update Date
02-16-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Assisted Living Facility

Taxonomy Code
310400000X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

RICH MOLFETTA

Authorized Official Title
MANAGING PRINCIPAL
Authorized Official Phone
(973) 995-6700

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
31D2291323
Facility Type
Skilled Nursing Facility/Nursing Facility
Certificate Effective Date
October 10, 2023
Certificate Expiration Date
October 09, 2025
Laboratory Director
VIRGINIA PABIN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Sycamore Living to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1255960746
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22105186078
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 0 + 5 + 1 + 8 + 6 + 0 + 7 + 8 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1255960746 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

JESSICA INTROMASSO

Speech-Language Pathologist

1 S RIDGEDALE AVE
EAST HANOVER, NJ
ZIP 07936

(973) 885-4450

LIVIA HEALTH AT EAST HANOVER LLC

Skilled Nursing Facility

1 S RIDGEDALE AVE
EAST HANOVER, NJ
ZIP 07936

(973) 995-6700

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255960746, enumerated as an "organization" on April 06, 2020.

The provider is located at 1 S RIDGEDALE AVE EAST HANOVER, NJ 07936 and the phone number is (973) 995-6700.

Assisted Living Facility with taxonomy code 310400000X.