NPIMap

Organization Active NPI

Five Star Quality Care - NJ, LLC

Doing business as Mt. Arlington Senior Living

  • Assisted Living Facility
  • Mount Arlington, NJ
National Provider Identifier
1114133105
Registry record updated Mar 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
FIVE STAR QUALITY CARE - NJ, LLC
Doing business as
Mt. Arlington Senior Living
Practice address
2 Hillside Dr
Mt Arlington, NJ 07856-1501
Phone
(973) 601-0988
NPI assigned
May 15, 2007
Last updated
Mar 28, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
FIVE STAR QUALITY CARE - NE. LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 28, 2019

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

Authorized official

Name
Katherine E Potter
Title
President & Chief Executive Officer
Phone
(617) 796-8387

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 0127485 NJ
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

2 Hillside Dr
Mt Arlington, NJ 07856-1501

Mailing address

2 Hillside Dr
Mt Arlington, NJ 07856-1501

Other identifiers 1

IdentifierTypeStateIssuer
0186899MedicaidNJ

Other names 1

  • Mt. Arlington Senior Living Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Five Star Quality Care - NJ LLC3 organizations share this tax ID, including this one
Part of
Five Star Quality Care - NE LLC Dba Ainsworth Care Center

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553731200000",
    "number": "1114133105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 HILLSIDE DR",
            "city": "MT ARLINGTON",
            "state": "NJ",
            "postal_code": "078561501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 HILLSIDE DR",
            "city": "MT ARLINGTON",
            "state": "NJ",
            "postal_code": "078561501",
            "telephone_number": "973-601-0988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIVE STAR QUALITY CARE - NJ, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FIVE STAR QUALITY CARE - NE. LLC",
        "enumeration_date": "2007-05-15",
        "last_updated": "2019-03-28",
        "status": "A",
        "authorized_official_last_name": "POTTER",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT & CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "617-796-8387"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NJ",
            "license": "0127485",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0186899",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mt. Arlington Senior Living",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mt. Arlington Senior Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Arlington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.