Montvale Opco, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MONTVALE OPCO, LLC

Practice address

110 Summit Ave
Montvale, NJ 07645-1775

Phone

(201) 201-8815

NPI assigned

Jun 16, 2021

Organization subpart

Yes

Parent organization

THRIVE SENIOR LIVING, LLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kimberly Gebert

Title

Operations Lead

Phone

(678) 314-2619

Specialties & licenses 1

Addresses

Electronic endpoints 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1623801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623888000000",
    "number": "1053989806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 W GRAND AVE",
            "city": "MONTVALE",
            "state": "NJ",
            "postal_code": "076451805",
            "telephone_number": "678-314-2619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 SUMMIT AVE",
            "city": "MONTVALE",
            "state": "NJ",
            "postal_code": "076451775",
            "telephone_number": "201-201-8815"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "295 W Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Montvale",
            "state": "NJ",
            "postal_code": "076451805",
            "country_code": "US",
            "telephone_number": "678-314-2619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MONTVALE OPCO, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THRIVE SENIOR LIVING, LLC",
        "enumeration_date": "2021-06-16",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A",
        "authorized_official_last_name": "GEBERT",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OPERATIONS LEAD",
        "authorized_official_telephone_number": "678-314-2619"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hello@thrivesl.com",
            "affiliation": "N",
            "address_1": "295 W Grand Ave",
            "city": "Montvale",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "076451805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Assisted Living Facility in Montvale, NJ
• Providers in Montvale, NJ by specialty
• Assisted Living Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.