KDG OPERATING COMPANY, LLC (NPI# 1306969829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306969829 |
| Entity Type | Organization |
| Organization Name | KDG OPERATING COMPANY, LLC |
| Other Organization Name | IVYSTONE SENIOR LIVING |
| Practice Address |
7999 N Crescent Blvd Pennsauken NJ 08110-1402 |
| Mailing Address |
Kaplan Development Group 100 Jericho Quadrangle Suite 142 Jericho NY 11753-2408 |
| Practice Telephone | 8564885557 |
| Practice Fax Number | 8564889523 |
| Mailing Telephone | 5164961505 |
| Mailing Fax Number | 5164961509 |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2018-12-03 |
| Authorized Official Name | MR. RAYMOND T. DIOGUARDI (COO/CFO) |
| Authorized Official Telephone | 5164961505 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 15C000 | NJ | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0104124 | 05 |
| Other Name | Type Code |
|---|---|
| Bentley Senior Living at Pennsauken | Doing Business As Name - Organization |
| Ivystone Senior Living | Doing Business As Name - Organization |
| Street Address |
7999 N CRESCENT BLVD |
| City | PENNSAUKEN |
| State | NJ |
| Zip Code | 08110-1402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982063541 | Bathsheba Swain | Community Based Residential Treatment Facility, Mental Illness | 2217 43rd St, Pennsauken, NJ 08110 | 2016-02-11 |
| 1255752754 | Pegasus The Arts, Inc. | Day Training, Developmentally Disabled Services | 2830 Marlton Pike, Pennsauken, NJ 08110 | 2013-12-31 |
| 1508021643 | Senior Management IIi LLC | Assisted Living Facility | 7999 Rt 130 North, Pennsauken, NJ 08110 | 2008-07-28 |
| 1023292042 | Top Rank Home Care LLC | Home Health | 4610u Westfield Ave, Pennsauken, NJ 08110 | 2007-12-27 |
| 1508920794 | Aurangzaib Khan | Dentist | 5517 Westfield Ave, Pennsauken, NJ 08110 | 2006-12-21 |
| 1760542518 | Jo Ann Donna Pecca | Family Medicine | Worknet Occupational Medicine, 9370 Rt. 130 N., Ste 200, Pennsauken, NJ 08110 | 2006-12-11 |
| 1619982600 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 4601 Westfield Ave, Pennsauken, NJ 08110 | 2006-07-29 |
| 1447205968 | Pennsauken Imaging, LLC | Radiology | 6027 Route 130 South, Pennsauken, NJ 08110 | 2006-05-23 |
| 1972735116 | South Jersey Primary Care Physicians & Rehabilitation Center P.C. | Chiropractor | 3801 Marlton Pike, Pennsauken, NJ 08110 | 2009-08-21 |
| 1366946915 | Edwin Javier Rodriguez | Registered Nurse | 2136 Cove Road Pennsuaken, Pennsuaken, NJ 08110-0811 | 2018-03-20 |
| Find all providers in zip 08110 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| 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. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508021643 | Senior Management IIi LLC | Assisted Living Facility | 7999 Rt 130 North, Pennsauken, NJ 08110 | 2008-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447859483 | Somerset Senior Care, LLC | Assisted Living Facility | 1870 Easton Avenue, Somerset, NJ 08873 | 2020-10-21 |
| 1093324113 | Springpoint At Manalapan, Inc. | Assisted Living Facility | 4814 Outlook Dr, Wall Township, NJ 07753-6812 | 2020-07-24 |
| 1720696222 | Csh Mount Laurel Licensee, LLC | Assisted Living Facility | 785 Centerton Rd, Mount Laurel, NJ 08054-1607 | 2020-07-21 |
| 1033735121 | Artis Senior Living of Princeton Junction, LLC | Assisted Living Facility | 861 Alexander Rd, Princeton, NJ 08540-6310 | 2020-06-24 |
| 1104442466 | Sparta Senior Living, LLC | Assisted Living Facility | 3 North Village Boulevard, Sparta, NJ 07871 | 2020-06-23 |
| 1376176636 | Fsp-waldwick Property, LLC | Assisted Living Facility | 245 Wyckoff Ave, Waldwick, NJ 07463-1225 | 2020-02-14 |
| 1417589763 | Shp Vi Mountainside LLC | Assisted Living Facility | 1050 Springfield Ave, Mountainside, NJ 07092-2905 | 2020-02-05 |
| 1548891948 | Compact Care Facilities | Assisted Living Facility | 4646 Thelma Ave, Mays Landing, NJ 08330-9579 | 2020-02-04 |
| 1366073140 | Sjf Ccrc, Inc | Assisted Living Facility | 1110 Laurel Oak Rd, Voorhees, NJ 08043-4344 | 2020-01-30 |
| 1710524087 | Engel Burman At Wayne, LLC | Assisted Living Facility | 1440 Hamburg Turnpike, Wayne, NJ 07470 | 2019-12-05 |
| Find all providers with the same taxonomy | ||||
| City | PENNSAUKEN |
| Zip Code | 08110 |
Please comment or provide details below to improve the information on KDG OPERATING COMPANY, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.