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IVYSTONE SENIOR LIVING
NPI 1306969829
Assisted Living Facility in Pennsauken, NJ

Active since April 09, 2007CLIA 31D2208384 · Waiver
7999 N CRESCENT BLVD, PENNSAUKEN, NJ 08110(856) 488-5557(856) 488-9523 Get Directions Write a Review

NPPES record last updated: December 3, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ivystone Senior Living NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IVYSTONE SENIOR LIVING (NPI 1306969829) is a healthcare organization registered as an assisted living facility in Pennsauken, New Jersey and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through January 5, 2027 and lists Raymond T. Dioguardi, Coo/cfo, as its authorized official.

NPPES Registry Identity

NPI1306969829
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameKDG OPERATING COMPANY, LLC
Location Address7999 N CRESCENT BLVDPennsauken, NJ 08110-1402
Mailing AddressKaplan Development Group, 100 Jericho Quadrangle Suite 142Jericho, NY 11753-2408 · (516) 496-1505 · Fax (516) 496-1509
Phone(856) 488-5557
Fax(856) 488-9523
Organization SubpartNo
Authorized OfficialRaymond T. DioguardiCoo/cfo · (516) 496-1505
Enumeration DateApril 9, 2007
Last NPPES UpdateDecember 3, 2018
✔ NPI 1306969829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in NJ · 15C000
Definition
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.
7999 N CRESCENT BLVD, Pennsauken, NJ 08110
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Other Names 1

Doing Business AsIvystone Senior Living

Other Identifiers 1

Medicaid0104124NJ

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D2208384

Ivystone Senior Living · Pennsauken, NJ
Active · expires Jan 5, 2027
CLIA Number31D2208384
Laboratory TypeAssisted Living Facility
Certificate Effective DateJanuary 6, 2025
Certificate Expiration DateJanuary 5, 2027
Laboratory DirectorPatricia Kaylor
Laboratory Phone(856) 488-5557
Laboratory LocationIvystone Senior Living7999 Route 130, Pennsauken, NJ 08110
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kdg Operating Company, LLC's NPI number?

The NPI number for Kdg Operating Company, LLC is 1306969829. It was assigned to this organization in the NPPES registry on April 9, 2007. The provider is doing business as Ivystone Senior Living.

Where is Kdg Operating Company, LLC located?

Kdg Operating Company, LLC is located at 7999 N Crescent Blvd, Pennsauken, NJ 08110. The listed phone number is (856) 488-5557.

What is Kdg Operating Company, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Kdg Operating Company, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2208384) is associated with this NPI, valid through January 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kdg Operating Company, LLC was last updated on December 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.