Healthcare Provider Details

I. General information

NPI: 1861159642
Provider Name (Legal Business Name): CLIFTON SENIOR LIVING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/29/2021
Last Update Date: 02/22/2023
Certification Date: 02/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

782 VALLEY RD
CLIFTON NJ
07013-2206
US

IV. Provider business mailing address

782 VALLEY RD
CLIFTON NJ
07013-2206
US

V. Phone/Fax

Practice location:
  • Phone: 973-685-6433
  • Fax: 973-910-8777
Mailing address:
  • Phone: 908-421-6309
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: ASHLEY SCALZO
Title or Position: REGIONAL DIRECTOR OF OPERATIONS
Credential: CALA
Phone: 908-421-6309