IVY STONE COMMUNITY LIVING LLC
NPI 1467165258
Assisted Living Facility in Pennsauken, NJ

Active since December 27, 2022CLIA 31D2208384 · Waiver
7999 N ROUTE 130, PENNSAUKEN, NJ 08110(185) 648-8555 Get Directions Write a Review

NPPES record last updated: December 27, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ivy Stone Community Living Llc NPPES

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

IVY STONE COMMUNITY LIVING LLC (NPI 1467165258) is a healthcare organization registered as an assisted living facility in Pennsauken, New Jersey and active in the NPI registry since December 2022. The organization holds a CLIA Waiver certificate valid through January 5, 2027 and lists Eli Blumenkrantz, Cfo, as its authorized official.

NPPES Registry Identity

NPI1467165258
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameIVY STONE COMMUNITY LIVING LLC
Location Address7999 N ROUTE 130Pennsauken, NJ 08110-1402
Mailing Address7999 N Route 130Pennsauken, NJ 08110-1402 · (185) 648-8555
Organization SubpartNo
Authorized OfficialEli BlumenkrantzCfo · (856) 488-5557
Enumeration DateDecember 27, 2022
NPPES CertifiedDecember 27, 2022
NPI 1467165258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
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 ROUTE 130, Pennsauken, NJ 08110

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: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Adult Day Care)
7999 N ROUTE 130
PENNSAUKEN, NJ 08110
Assisted Living Facility
7999 N ROUTE 130
PENNSAUKEN, NJ 08110
Social Worker (Clinical)
7999 N ROUTE 130
PENNSAUKEN, NJ 08110

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467165258, enumerated as an "organization" on December 27, 2022.

The provider is located at 7999 N ROUTE 130 PENNSAUKEN, NJ 08110 and the phone number is (185) 648-8555.

Assisted Living Facility with taxonomy code 310400000X.