Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Van Dyk's Senior Residence of Hawthorne, LLC

Organization Assisted Living Facility · NPI 1730212689

Van Dyk's Senior Residence of Hawthorne, LLC is an Assisted Living Facility in Hawthorne, New Jersey. Licensed in New Jersey. Registered with an NPI since 2007.

Licensed in
NJ
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

644 Goffle Rd
Hawthorne, NJ 07506-3452
Phone: (201) 689-7979
Fax: (973) 304-2046
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X · Licence 8XD1WY (NJ)

Record details

NPI number1730212689
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charles Shotmeyer — Chief Financial Officer · (201) 689-7979
Other names Van Dyk'S At Park Place
NPI enumeratedMarch 13, 2007
Last updated in NPPESAugust 22, 2020
Mailing address644 Goffle Rd, Hawthorne, NJ 07506-3452