Provider Demographics
NPI:1043847619
Name:LIVIA HEALTH AT EAST HANOVER LLC
Entity Type:Organization
Organization Name:LIVIA HEALTH AT EAST HANOVER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:RICH
Authorized Official - Middle Name:
Authorized Official - Last Name:MOLFETTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-995-3300
Mailing Address - Street 1:1 S RIDGEDALE AVE
Mailing Address - Street 2:
Mailing Address - City:EAST HANOVER
Mailing Address - State:NJ
Mailing Address - Zip Code:07936-3142
Mailing Address - Country:US
Mailing Address - Phone:973-995-6700
Mailing Address - Fax:
Practice Address - Street 1:1 S RIDGEDALE AVE
Practice Address - Street 2:
Practice Address - City:EAST HANOVER
Practice Address - State:NJ
Practice Address - Zip Code:07936-3142
Practice Address - Country:US
Practice Address - Phone:973-995-6700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-24
Last Update Date:2024-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility