Healthcare Provider Details

I. General information

NPI: 1518657113
Provider Name (Legal Business Name): LIVINGSTON AL AMOP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2023
Last Update Date: 12/27/2024
Certification Date: 12/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

346 E CEDAR ST
LIVINGSTON NJ
07039-4221
US

IV. Provider business mailing address

C/O SPRING HILLS LLC 26 MAIN STREET
EDISON NJ
08837
US

V. Phone/Fax

Practice location:
  • Phone: 973-333-2200
  • Fax:
Mailing address:
  • Phone:
  • 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: GREGORY B HOOK
Title or Position: EVP
Credential:
Phone: 201-953-0546