MAURICE HOUSE
NPI 1679964712
Assisted Living Facility in Millville, NJ

Active since February 11, 2015CLIA 31D2194785 · Waiver
1719 W MAIN ST, MILLVILLE, NJ 08332(856) 825-4002(856) 327-2037 Get Directions Write a Review

NPPES record last updated: June 12, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Maurice House NPPES

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

MAURICE HOUSE (NPI 1679964712) is a healthcare organization registered as an assisted living facility in Millville, New Jersey and active in the NPI registry since February 2015. The organization holds a CLIA Waiver certificate valid through October 1, 2026 and lists Rita Rivera-worley, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1679964712
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSL MILLVILLE, LLC
Location Address1719 W MAIN STMillville, NJ 08332-4632
Mailing Address1719 W Main StMillville, NJ 08332-4632 · (856) 825-4002 · Fax (856) 327-2037
Fax(856) 327-2037
Organization SubpartNo
Authorized OfficialRita Rivera-worleyExecutive Director · (856) 825-4002
Enumeration DateFebruary 11, 2015
Last NPPES UpdateJune 12, 2015
NPI 1679964712 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 · 90108
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.
1719 W MAIN ST, Millville, NJ 08332

Other Names 1

Doing Business AsMaurice House

Other Identifiers 1

Medicaid0457761NJ

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 31D2194785

Maurice House · Millville, NJ
Active · expires Oct 1, 2026
CLIA Number31D2194785
Laboratory TypeAssisted Living Facility
Certificate Effective DateOctober 2, 2024
Certificate Expiration DateOctober 1, 2026
Laboratory DirectorBrandylee Myers
Laboratory Phone(856) 825-4002
Laboratory LocationMaurice House1719 W Main Street, Millville, NJ 08332
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Assisted Living Facility
1719 W MAIN ST
MILLVILLE, NJ 08332
Assisted Living Facility
1719 W MAIN ST
MILLVILLE, NJ 08332

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 Sl Millville, LLC's NPI number?

The NPI number for Sl Millville, LLC is 1679964712. It was assigned to this organization in the NPPES registry on February 11, 2015. The provider is doing business as Maurice House.

Where is Sl Millville, LLC located?

Sl Millville, LLC is located at 1719 W Main St, Millville, NJ 08332. The listed phone number is (856) 825-4002.

What is Sl Millville, LLC's specialty?

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

Does Sl Millville, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2194785) is associated with this NPI, valid through October 1, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Sl Millville, LLC was last updated on June 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.